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

Individual provider Clinical Social Worker · NPI 1134644578

Theresa Land, LCSW is a Clinical Social Worker in Waycross, Georgia. Qualified in 2000, 26 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2017
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

2484 Memorial Dr
Waycross, GA 31503-6336
Phone: (912) 548-2099
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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 CSW004715 (GA)

Record details

NPI number1134644578
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 7, 2017
Last updated in NPPESNovember 20, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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