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NPI Code Detail

MEDICARE: KRISTINA T WEEMS LCSW

MEDICARE: KRISTINA T WEEMS 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
11041C0700XClinical Social WorkerCSW006700GA

General Provider Information

NPI Number : 1548796865
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA T WEEMS LCSW
Provider Business Mailing Address
First Line : PO BOX 746763
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6763
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 1263 MORELAND AVE SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-3183
Country : US
Telephone Number : 470-444-3137
Fax Number : 470-202-3003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 10/07/2025

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Directions to “ KRISTINA T WEEMS LCSW” Practice Location

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