Provider Demographics
NPI:1679848386
Name:GARNER, GAIL LAURA (LCSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LAURA
Last Name:GARNER
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 1:4011 ROSWELL RD NE
Mailing Address - Street 2:2316
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4194
Mailing Address - Country:US
Mailing Address - Phone:770-906-7158
Mailing Address - Fax:
Practice Address - Street 1:4011 ROSWELL RD NE
Practice Address - Street 2:2316
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4194
Practice Address - Country:US
Practice Address - Phone:770-906-7158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0040761041C0700X
GACSW0050761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical