MEDICARE: NANCY RACHEL ALBRITTON 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	MSW007036	FL

General Provider Information

NPI Number	:	1790229938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY RACHEL ALBRITTON LCSW

Provider Business Mailing Address
First Line	:	419 HUNTERS GLN
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-4230
Country	:	US
Telephone Number	:	229-650-0657
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 N OAK STREET EXT
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-5909
Country	:	US
Telephone Number	:	229-671-6162
Fax Number	:	229-671-6750

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

Provider Enumeration Date	:	12/07/2016
Last Update Date	:	05/28/2025

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