Provider Demographics
NPI:1184892226
Name:NOIRI-SCHOEN, MAIKO (LMSW)
Entity type:Individual
Prefix:
First Name:MAIKO
Middle Name:
Last Name:NOIRI-SCHOEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MAIKO
Other - Middle Name:
Other - Last Name:NOIRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:424 DECATUR ST SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1848
Mailing Address - Country:US
Mailing Address - Phone:678-843-8600
Mailing Address - Fax:678-843-8601
Practice Address - Street 1:424 DECATUR ST SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1848
Practice Address - Country:US
Practice Address - Phone:678-843-8600
Practice Address - Fax:678-843-8601
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW004492104100000X
GACSW0050451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker