Provider Demographics
NPI:1790229938
Name:ALBRITTON, NANCY RACHEL (LMSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:RACHEL
Last Name:ALBRITTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:N
Other - Middle Name:RACHEL
Other - Last Name:ALBRITTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:3120 N OAK STREET EXT
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-5909
Mailing Address - Country:US
Mailing Address - Phone:229-671-6162
Mailing Address - Fax:229-671-6750
Practice Address - Street 1:3120 N OAK STREET EXT
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-5909
Practice Address - Country:US
Practice Address - Phone:229-671-6162
Practice Address - Fax:229-671-6750
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMSW007036104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker