Provider Demographics
NPI:1508120353
Name:MARTINI-JAMES, GIANNA G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GIANNA
Middle Name:G
Last Name:MARTINI-JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 GOLF CREST DR
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-5960
Mailing Address - Country:US
Mailing Address - Phone:770-639-5568
Mailing Address - Fax:
Practice Address - Street 1:4255 WADE GREEN RD NW
Practice Address - Street 2:SUITE414
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1762
Practice Address - Country:US
Practice Address - Phone:678-213-2194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0031641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical