Provider Demographics
NPI:1548061807
Name:DUCKSWORTH, YOLANDA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:
Last Name:DUCKSWORTH
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 MCGINNIS WAY
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-0987
Mailing Address - Country:US
Mailing Address - Phone:770-851-2823
Mailing Address - Fax:
Practice Address - Street 1:433 MCGINNIS WAY
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-0987
Practice Address - Country:US
Practice Address - Phone:470-713-5889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0091831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical