Provider Demographics
NPI:1235006610
Name:PINSON, MISTY JOVON (LCSW)
Entity type:Individual
Prefix:
First Name:MISTY
Middle Name:JOVON
Last Name:PINSON
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 1:203 ALCOVY ST APT C
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-2197
Mailing Address - Country:US
Mailing Address - Phone:762-772-8113
Mailing Address - Fax:
Practice Address - Street 1:203 ALCOVY ST APT C
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-2197
Practice Address - Country:US
Practice Address - Phone:762-772-8113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0097391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical