Shiau, Jeanie Witcraft

Shiau, Jeanie Witcraft is an individual health care provider with primary practice located at 1007 Mansell Rd Ste A107 , Roswell GA 30076-5019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Shiau, Jeanie Witcraft can be contacted via phone (678) 667-1673.

Contact Information

Primary practice address
1007 Mansell Rd Ste A107 Roswell GA 30076-5019
Phone: (678) 667-1673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW4647 Georgia
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1245358852
LBN Legal business name Shiau, Jeanie Witcraft
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245358852 NPPES
Georgia MEDICAID 330739
Georgia Other 1962891853

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