Provider Demographics
NPI:1255888525
Name:DRAWANERT ASSOCIATES
Entity type:Organization
Organization Name:DRAWANERT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:SADAQA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:868-613-0430
Mailing Address - Street 1:3657 GRAY BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-7322
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:808 COMMERCE BLVD
Practice Address - Street 2:STE C2
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-7192
Practice Address - Country:US
Practice Address - Phone:868-613-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty