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

Individual provider Clinical Social Worker · NPI 1972187573

Raven Eboni Jenerson, LICSW is a Clinical Social Worker in Alpharetta, Georgia. Licensed in District of Columbia and Virginia. Registered with an NPI since 2021.

Licensed in
DC, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3480 Preston Ridge Rd Ste 500
Alpharetta, GA 30005-5460
Phone: (404) 969-6116
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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 LC50082869 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904015007 (VA)

Record details

NPI number1972187573
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

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