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RAVEN EBONI JENERSON LICSW
NPI 1972187573
Social Worker - Clinical in Alpharetta, GA

Active since May 10, 2021
3480 PRESTON RIDGE RD STE 500, ALPHARETTA, GA 30005(404) 969-6116 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2023, May 20, 2022, Dec 29, 2021 and 1 more (4 updates tracked since 2021).

About Raven Eboni Jenerson Licsw NPPES

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

RAVEN EBONI JENERSON LICSW (NPI 1972187573) is an individual clinical provider in Alpharetta, Georgia, licensed in District Of Columbia (LC50082869) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1972187573
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRAVEN EBONI JENERSONCredential: LICSW
Location Address3480 PRESTON RIDGE RD STE 500Alpharetta, GA 30005-5460
Mailing Address3480 Preston Ridge Rd Ste 500Alpharetta, GA 30005-5460 · (404) 969-6116
Phone(404) 969-6116
Sole ProprietorNo
Enumeration DateMay 10, 2021
Last NPPES UpdateJune 1, 20234 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1972187573 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 DC · LC50082869✔ Licensed in VA · 0904015007
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.
3480 PRESTON RIDGE RD STE 500, Alpharetta, GA 30005
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE BALANCE COACHING SOLUTIONS, LLC
Social Worker
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA 30005
Fulton County (404) 895-5131
JESSICA ONTKO FREEMAN
Social Worker
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA 30005
Fulton County (404) 895-5131
ALLESE MORRISON LICSW
Social Worker (Clinical)
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA 30005
Fulton County (240) 672-4893
JACQUELINE ROSEANN BUSHELL NP
Nurse Practitioner (Psychiatric/Mental Health)
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA 30005
Fulton County (470) 916-7201
PRIORITY CAREGIVERS OF ATLANTA, LLC
In Home Supportive Care
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA 30005
Fulton County (470) 745-9199

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 Raven Jenerson's NPI number?

The NPI number for Raven Jenerson is 1972187573. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Raven Jenerson located?

Raven Jenerson practices at 3480 Preston Ridge Rd Ste 500, Alpharetta, GA 30005. The listed phone number is (404) 969-6116.

What is Raven Jenerson'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 Raven Jenerson was last updated on June 1, 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.