Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Georgia Faye Koushiafes, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1700555836

MS. Georgia Faye Koushiafes, MSW, LCSW is a Clinical Social Worker in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021
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

604 W Dodds St
Bloomington, IN 47403-4773
Phone: (812) 360-2869
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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 34003881A (IN)

Record details

NPI number1700555836
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedSeptember 11, 2021
Last updated in NPPESSeptember 11, 2021
Certification dateSeptember 11, 2021

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