Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clifford Allen Daniels Jr., LCSW

Individual provider Clinical Social Worker · NPI 1841625803

Clifford Allen Daniels Jr., LCSW is a Clinical Social Worker in Decatur, Georgia. Qualified in 2000, 26 years ago. Licensed in Alaska and Georgia.

Years since qualifying
26
Licensed in
AK, GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

465 Winn Way Ste 221
Decatur, GA 30030-1723
Phone: (404) 292-3810
Fax: (404) 292-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW004903 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1246 (AK)

Record details

NPI number1841625803
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 10, 2013
Last updated in NPPESOctober 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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