MEDICARE: CARLEN MILNER 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	104100000X	Social Worker	CSW010348	GA

General Provider Information

NPI Number	:	1699428532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEN MILNER LCSW

Provider Business Mailing Address
First Line	:	4934 SERENA CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30038-6230
Country	:	US
Telephone Number	:	404-626-3048
Fax Number	:

Provider Business Practice Location Address
First Line	:	4934 SERENA CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30038-6230
Country	:	US
Telephone Number	:	404-626-3048
Fax Number	:

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

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	06/02/2026

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Directions to “ CARLEN MILNER LCSW” Practice Location

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