Provider Demographics
NPI:1639206840
Name:PONS, CARYN (LCSW, MSW)
Entity type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:
Last Name:PONS
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:MRS
Other - First Name:CARYN
Other - Middle Name:PONS
Other - Last Name:APPELBAUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, MSW
Mailing Address - Street 1:996 CURRAN ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5777
Mailing Address - Country:US
Mailing Address - Phone:404-213-1603
Mailing Address - Fax:
Practice Address - Street 1:996 CURRAN ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-5777
Practice Address - Country:US
Practice Address - Phone:404-213-1603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0033271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical