Provider Demographics
NPI:1891940565
Name:MERRIWEATHER, JOAN TOLBERT (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:TOLBERT
Last Name:MERRIWEATHER
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 1:3599 CREEKWOOD LN SW
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-2901
Mailing Address - Country:US
Mailing Address - Phone:770-873-7691
Mailing Address - Fax:
Practice Address - Street 1:3599 CREEKWOOD LN SW
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-2901
Practice Address - Country:US
Practice Address - Phone:770-873-7691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0040401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical