| Timothy James Whailen, LCSW | |
|
107 Enterprise Path Ste 301, Hiram, GA 30141-2690 | |
| (706) 509-0130 | |
| (706) 237-6503 |
| Full Name | Timothy James Whailen |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 107 Enterprise Path Ste 301, Hiram, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609445097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW007682 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy James Whailen, LCSW 9085 Clark Rd, Fairburn, GA 30213-1929 Ph: (404) 480-3731 | Timothy James Whailen, LCSW 107 Enterprise Path Ste 301, Hiram, GA 30141-2690 Ph: (706) 509-0130 |
Mrs. Shannon Davidson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Enterprise Path Ste 201, Hiram, GA 30141 Phone: 678-682-0405 | |
Kimberly Bryant, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Enterprise Path, Hiram, GA 30141 Phone: 678-567-0920 | |
Menyuan Jordan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 Enterprise Path Ste 201, Hiram, GA 30141 Phone: 678-567-0920 | |
Edward Miguel Valentin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 Enterprise Path Ste 104b, Hiram, GA 30141 Phone: 770-256-7078 |