Provider Demographics
NPI:1962861658
Name:ARNOLD, REINETTE VANESSA (LCSW, MAC)
Entity Type:Individual
Prefix:MS
First Name:REINETTE
Middle Name:VANESSA
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LCSW, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1843 PEELER RD STE C
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5706
Mailing Address - Country:US
Mailing Address - Phone:770-318-1897
Mailing Address - Fax:
Practice Address - Street 1:1843 PEELER RD STE C
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5706
Practice Address - Country:US
Practice Address - Phone:770-318-1897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0054141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical