MEDICARE: MR. NORMAN DEXTER WINEGAR LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LDC0000000350	TN
2	1041C0700X	Clinical Social Worker	CSW003262	GA

General Provider Information

NPI Number	:	1033262035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NORMAN DEXTER WINEGAR LCSW

Provider Business Mailing Address
First Line	:	1007 LONGWOOD DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-1534
Country	:	US
Telephone Number	:	678-569-2161
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 ROSWELL RD
Second Line	:	#340
City	:	MARIETTA
State	:	GA
Zip	:	30062-8809
Country	:	US
Telephone Number	:	678-569-2161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	09/11/2025

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