Individual
ATHENA LUCIA TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MPA
Contact information
Practice address
1633 NEW GARDEN RD UNIT 388, GREENSBORO, NC 27410-2001
(850) 345-9007
Mailing address
1633 NEW GARDEN RD UNIT 388, GREENSBORO, NC 27410-2001
(858) 503-4590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
C014474
NC
1041C0700X
Clinical Social Worker
SW17650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768915200
—
FL
Enumeration date
02/20/2008
Last updated
03/23/2026
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