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

Katherine Blair, LCSW

Individual provider Mental Health Counselor · NPI 1760937684

Katherine Blair, LCSW is a Clinical Social Worker in Statesboro, Georgia. Qualified in 2014, 12 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Massachusetts.

Years since qualifying
12
Licensed in
GA, MA
In the registry since
2016
Specialties on file
3
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

19 Coach Lee Hill Blvd
Statesboro, GA 30458-4700
Phone: (912) 662-6501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Shadowlawn Dr Ste 119, Saint Marys, GA 31558-4074 — (912) 290-2020

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007072 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 220532 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence CSW007072 (GA)

Record details

NPI number1760937684
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 20, 2016
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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