Elizabeth Rose Banerjee, LCSW
Social Worker, Clinical in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1508526765
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1508526765
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Rose Banerjee
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2021
- Certification date
- Dec 29, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW007872 | GA | Yes |
Other names
- Elizabeth Rose Pachal (Former Name)
Practice location
5250 Mimosa DrStone Mountain, GA 30083-3625
Phone 863-206-1659
Mailing address
5250 Mimosa DrStone Mountain, GA 30083-3625
Phone 863-206-1659
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All 42 Clinical Social Worker providers in Stone Mountain · All 1,438 providers in Stone Mountain
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