Provider Demographics
NPI:1194929117
Name:GARNER, ROSALYN M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROSALYN
Middle Name:M
Last Name:GARNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6315 GARDEN WALK BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2628
Mailing Address - Country:US
Mailing Address - Phone:770-991-7420
Mailing Address - Fax:770-991-7429
Practice Address - Street 1:6315 GARDEN WALK BLVD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2628
Practice Address - Country:US
Practice Address - Phone:770-991-7420
Practice Address - Fax:770-991-7429
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0017231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical