IndividualActive
Alexis Averett
NPI 1003503756 · Clinical Social Worker · Fairburn, GA
Provider details
- NPI number
- 1003503756
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CSW010330 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
189 Park Ln
Fairburn, GA 30213-5538
Phone: (678) 923-2456
Approximate (ZIP-level) locationGet directions
Mailing address
912 Meadowood Ln # 912
Douglasville, GA 30135-8807
Registry dates
- Enumerated
- 2023-04-21
- Last updated
- 2026-05-30
- Certified
- 2026-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.