Provider Demographics
NPI:1922317767
Name:MERRIWEATHER, CAMEISHA AILEAN (LCSW)
Entity type:Individual
Prefix:
First Name:CAMEISHA
Middle Name:AILEAN
Last Name:MERRIWEATHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAMEISHA
Other - Middle Name:AILEAN
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 257
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-0005
Mailing Address - Country:US
Mailing Address - Phone:678-526-9911
Mailing Address - Fax:
Practice Address - Street 1:6391 WYNDHAM LAKES DR NW
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-6533
Practice Address - Country:US
Practice Address - Phone:678-526-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW004685104100000X
GACSW0047001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker