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

Individual provider Clinical Social Worker · NPI 1962768572

Juliet Ihedike, LCSW is a Clinical Social Worker in Dallas, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
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

110 Evans Mill Dr Ste 305
Dallas, GA 30157-1623
Phone: (678) 348-6390
Fax: (678) 550-6380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Evans Mill Dr Ste 306, Dallas, GA 30157-1623 — (678) 332-7955

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007463 (GA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1962768572
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 9, 2012
Last updated in NPPESAugust 28, 2022
Certification dateJanuary 19, 2022

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