Provider Demographics
NPI:1871610428
Name:FOLK, ALBERTA (LCSW)
Entity type:Individual
Prefix:
First Name:ALBERTA
Middle Name:
Last Name:FOLK
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 1:873 MADISON CREST CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-3803
Mailing Address - Country:US
Mailing Address - Phone:770-513-9688
Mailing Address - Fax:
Practice Address - Street 1:873 MADISON CREST CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-3803
Practice Address - Country:US
Practice Address - Phone:770-513-9688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0018781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical