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MR. MYRON RUSSELL PROCTOR CADC, LMSW
NPI 1245875962
Social Worker in La Fayette, GA

Active since November 18, 2019
201 N MAIN ST, LA FAYETTE, GA 30728(678) 590-5589 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2023, Nov 18, 2019 (2 updates tracked since 2019).

About Mr. Myron Russell Proctor Cadc, Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MYRON RUSSELL PROCTOR CADC, LMSW (NPI 1245875962) is an individual social worker in La Fayette, Georgia, licensed in Georgia (MSW011227) and active in the NPI registry since November 2019. He maintains a secondary practice location in Ringgold.

NPPES Registry Identity

NPI1245875962
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. MYRON RUSSELL PROCTORCredential: CADC, LMSW
Location Address201 N MAIN STLa Fayette, GA 30728-2419
Mailing Address121 Lazy Oak TrlRinggold, GA 30736-5573 · (423) 785-7391
Phone(678) 590-5589
Sole ProprietorNo
Enumeration DateNovember 18, 2019
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1245875962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in GA · MSW011227
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0527 (GA)
201 N MAIN ST, La Fayette, GA 30728
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Secondary Practice Location 1

Location 16120 Alabama HwyRinggold, GA 30736-2804 · Phone (706) 935-6442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myron Proctor's NPI number?

The NPI number for Myron Proctor is 1245875962. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Where is Myron Proctor located?

Myron Proctor practices at 201 N Main St, La Fayette, GA 30728. The listed phone number is (678) 590-5589.

What is Myron Proctor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Myron Proctor was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.