Provider Demographics
NPI:1811479827
Name:CLAUDIO, DAMARIS (LCSW)
Entity type:Individual
Prefix:
First Name:DAMARIS
Middle Name:
Last Name:CLAUDIO
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 1:1350 SCENIC HWY N STE 266
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7924
Mailing Address - Country:US
Mailing Address - Phone:860-631-7477
Mailing Address - Fax:
Practice Address - Street 1:1350 SCENIC HWY N
Practice Address - Street 2:STE 266
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078
Practice Address - Country:US
Practice Address - Phone:860-631-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT115791041C0700X
GACSW0075961041C0700X
CT291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical