Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tere Tyner Canzoneri, MDIV, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1679603815

Tere Tyner Canzoneri, MDIV, MSW, LCSW is a Clinical Social Worker in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
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

1790 Lavista Rd NE
Atlanta, GA 30329-3604
Phone: (404) 664-6254
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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 1202 (GA)

Record details

NPI number1679603815
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV , MSW , LCSW
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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