IndividualActive
Nathan Popham, LCSW, LICSW
NPI 1003673302 · Clinical Social Worker · Fruithurst, AL
Provider details
- NPI number
- 1003673302
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- CSW007489 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
308 3rd St E
Fruithurst, AL 36262-3751
Phone: (256) 926-8797
Approximate (ZIP-level) locationGet directions
Mailing address
308 3rd St E
Fruithurst, AL 36262-3751
Additional practice locations (1)
- 85 Tyus Carrollton RdCarrollton, GA 30117-8254Phone: (256) 926-8797
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.