Provider Demographics
NPI:1053472894
Name:NAMA, BARBARA LEE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEE
Last Name:NAMA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11A LENOX POINTE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3171
Mailing Address - Country:US
Mailing Address - Phone:404-231-2339
Mailing Address - Fax:404-261-5079
Practice Address - Street 1:11A LENOX POINTE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3171
Practice Address - Country:US
Practice Address - Phone:404-231-2339
Practice Address - Fax:404-261-5079
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0003641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical