Provider Demographics
NPI:1265210918
Name:GADDIS, MARGARET HANCOCK (LMSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:HANCOCK
Last Name:GADDIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 TANNER DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30079-1026
Mailing Address - Country:US
Mailing Address - Phone:843-298-2931
Mailing Address - Fax:
Practice Address - Street 1:675 SEMINOLE AVE NE STE 111
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-3412
Practice Address - Country:US
Practice Address - Phone:678-400-9477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW010874104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker