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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BEVONNA TRAIL LCSW
NPI 1730694498
Social Worker - Clinical in Johns Creek, GA

Active since December 04, 2017
6470 E JOHNS XING, JOHNS CREEK, GA 30097(470) 588-2692 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Apr 19, 2024, Mar 3, 2023 and 2 more (5 updates tracked since 2017).

About Bevonna Trail Lcsw NPPES

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

BEVONNA TRAIL LCSW (NPI 1730694498) is an individual clinical provider in Johns Creek, Georgia, licensed in Georgia (CSW008493) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1730694498
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBEVONNA TRAILCredential: LCSW
Location Address6470 E JOHNS XINGJohns Creek, GA 30097-2511
Mailing Address6470 East Johns Crossing, Pmb 920146Peachtree Corners, GA 30097 · (470) 588-2692 · Fax (866) 560-1337
Phone(470) 588-2692
Sole ProprietorNo
Enumeration DateDecember 4, 2017
Last NPPES UpdateJune 26, 20265 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1730694498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW008493✔ Licensed in MA · LICSW1121247✔ Licensed in NY · 096547✔ Licensed in NJ · 44SC06460800✔ Licensed in VA · 0904017730
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6470 E JOHNS XING, Johns Creek, GA 30097
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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 Bevonna Trail's NPI number?

The NPI number for Bevonna Trail is 1730694498. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Bevonna Trail located?

Bevonna Trail practices at 6470 E Johns Xing, Johns Creek, GA 30097. The listed phone number is (470) 588-2692.

What is Bevonna Trail's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bevonna Trail was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.