MEDICARE: JOYCE ANN MCLENDON M.S.W., 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	1041C0700X	Clinical Social Worker	CSW003340	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841285285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE ANN MCLENDON M.S.W., LCSW

Provider Business Mailing Address
First Line	:	4480 S COBB DR SE
Second Line	:	STE. H #180
City	:	SMYRNA
State	:	GA
Zip	:	30080-6990
Country	:	US
Telephone Number	:	404-601-2894
Fax Number	:	404-601-2896

Provider Business Practice Location Address
First Line	:	3475 LENOX RD NE
Second Line	:	SUITE 400
City	:	ATLANTA
State	:	GA
Zip	:	30326-3227
Country	:	US
Telephone Number	:	404-601-2894
Fax Number	:	404-601-2896

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	11/21/2008

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