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

Georgianna Blake Lazarus, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1740557370

Georgianna Blake Lazarus, MSW, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

5511 Bannock Glen Dr
Charlotte, NC 28212-2268
Phone: (617) 910-8245
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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 C008483 (NC)

Record details

NPI number1740557370
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedNovember 28, 2011
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

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