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NPI Code Detail

MEDICARE: JAMIE MAHAFFEY L.C.S.W.

MEDICARE: JAMIE MAHAFFEY L.C.S.W.
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 WorkerCSW005507GA
21041S0200XSchool Social Worker731701GA

General Provider Information

NPI Number : 1982078267
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE MAHAFFEY L.C.S.W.
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
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 : 11/24/2015
Last Update Date : 12/26/2025

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Directions to “ JAMIE MAHAFFEY L.C.S.W.” Practice Location

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