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NPI Code Detail

MEDICARE: MR. ZACHARY RYAN TOWNSEND LCSW

MEDICARE: MR. ZACHARY RYAN TOWNSEND 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
1104100000XSocial Worker
21041C0700XClinical Social WorkerCSW008261GA

General Provider Information

NPI Number : 1346671666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ZACHARY RYAN TOWNSEND LCSW
Provider Business Mailing Address
First Line : 225 W LINE ST STE 4
Second Line :
City : CALHOUN
State : GA
Zip : 30701-1837
Country : US
Telephone Number : 678-383-0636
Fax Number :
Provider Business Practice Location Address
First Line : 225 W LINE ST STE 4
Second Line :
City : CALHOUN
State : GA
Zip : 30701-1837
Country : US
Telephone Number : 678-383-0636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2013
Last Update Date : 12/13/2025

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