Provider Demographics
NPI:1730478983
Name:SMALLEY, BARBARA MANDELL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:MANDELL
Last Name:SMALLEY
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 1:11 JAMES RIVER PL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3746
Mailing Address - Country:US
Mailing Address - Phone:404-274-3695
Mailing Address - Fax:
Practice Address - Street 1:11 JAMES RIVER PL NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3746
Practice Address - Country:US
Practice Address - Phone:404-274-3695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0044001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical