Provider Demographics
NPI:1831626217
Name:MAGEE, LANI MICHELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LANI
Middle Name:MICHELLE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LANI
Other - Middle Name:MICHELLE
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAIDEN NAME
Mailing Address - Street 1:4500 W SHANNON LAKES DR STE 3
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2240
Mailing Address - Country:US
Mailing Address - Phone:850-942-2000
Mailing Address - Fax:850-942-2003
Practice Address - Street 1:4500 W SHANNON LAKES DR STE 3
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-2240
Practice Address - Country:US
Practice Address - Phone:850-942-2000
Practice Address - Fax:850-942-2003
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099301171041C0700X
FLSW14323104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical