Provider Demographics
NPI:1730694993
Name:MCALEESE, JACQUELINE PAGE (LCSW)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:PAGE
Last Name:MCALEESE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N PEAK DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5266
Mailing Address - Country:US
Mailing Address - Phone:404-509-6889
Mailing Address - Fax:
Practice Address - Street 1:210 N PEAK DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5266
Practice Address - Country:US
Practice Address - Phone:404-509-6889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-11
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0061371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical