Provider Demographics
NPI:1619040706
Name:ENGELHARDT, LENORE (LCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:LENORE
Middle Name:
Last Name:ENGELHARDT
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 STREAMVIEW DR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-3670
Mailing Address - Country:US
Mailing Address - Phone:404-212-0792
Mailing Address - Fax:866-587-4127
Practice Address - Street 1:1803 STREAMVIEW DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-3670
Practice Address - Country:US
Practice Address - Phone:404-212-0792
Practice Address - Fax:866-587-4127
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-02131041C0700X
GACSW0054611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical