Individual
MR. CALVIN DOUGLAS WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2217 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 671-6611
Mailing address
2411 PATRICK PL, VALDOSTA, GA 31601-7937
(313) 806-1847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085551
MI
1041C0700X
Clinical Social Worker
Primary
CSW004356
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CSW004356
—
GA
Enumeration date
07/03/2007
Last updated
03/04/2026
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