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

Mary Lane, LISW

Individual provider Clinical Social Worker · NPI 1215450234

Mary Lane, LISW is a Clinical Social Worker in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1401 Hosea Williams Dr SE
Atlanta, GA 30317-1703
Phone: (404) 373-6614
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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 CSW007041 (GA)

Record details

NPI number1215450234
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021

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