Provider Demographics
NPI:1972010734
Name:BUSLER, NAOMI ELAINE (LMSW)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:ELAINE
Last Name:BUSLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NATHAN
Other - Middle Name:ANDREW
Other - Last Name:BUSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1950 SPECTRUM CIR SE STE 145
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8470
Mailing Address - Country:US
Mailing Address - Phone:678-921-2706
Mailing Address - Fax:678-388-8649
Practice Address - Street 1:1950 SPECTRUM CIR SE STE 145
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8470
Practice Address - Country:US
Practice Address - Phone:678-921-2706
Practice Address - Fax:678-388-8649
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW007435104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAMSW007435OtherLMSW LICENCE NUMBER