Provider Demographics
NPI:1972209229
Name:HEMPHILL, NAOMI (LCSW)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:HEMPHILL
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 1:113 KALSUM TRL
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-3314
Mailing Address - Country:US
Mailing Address - Phone:678-367-9077
Mailing Address - Fax:
Practice Address - Street 1:113 KALSUM TRL
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-3314
Practice Address - Country:US
Practice Address - Phone:678-367-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0080951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical