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TATJANA ESTEP RAYCROFT LCSW MAC NPI 1568797173


NPI Information

NPI: 1568797173
Provider Name: TATJANA ESTEP RAYCROFT, LCSW, MAC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
183 ACADEMIC DR BLDG 39721
FORT GORDON, GA
ZIP 30905
Phone: (706) 787-8271
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Tatjana Estep Raycroft, LCSW, MAC is a clinical social worker in Fort Gordon, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Tatjana Estep Raycroft, LCSW, MAC NPI is 1568797173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

183 ACADEMIC DR BLDG 39721
FORT GORDON, GA
ZIP 30905-933
Phone: (706) 787-8271

The enumeration date for this NPI number is 10/15/2009 and was last updated on 10/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)507545No
21041C0700XSocial WorkerClinicalCSW003760GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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