Provider Demographics
NPI:1932072642
Name:CHATMON, KESHAWNA (LCSW)
Entity type:Individual
Prefix:
First Name:KESHAWNA
Middle Name:
Last Name:CHATMON
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 1:5590 MABLETON PKWY SW STE 138-184
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-3344
Mailing Address - Country:US
Mailing Address - Phone:347-525-0622
Mailing Address - Fax:
Practice Address - Street 1:5590 MABLETON PKWY SW STE 138-184
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-3344
Practice Address - Country:US
Practice Address - Phone:347-525-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0094991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical