Maria Nicole Warner, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19915 Issued in FL

Practice address

614 Glen Way NE
Brookhaven, GA 30319-3032

Phone

(813) 528-5024

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1205419454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 GLEN WAY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193032",
            "telephone_number": "813-528-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GLEN WAY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193032",
            "telephone_number": "813-528-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MARIA",
        "middle_name": "NICOLE",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palvi Walia, PA-C
• Cheryl D Walker
• Triphinia M Wallace, PSY.
• Jessica Walton, PHARMD
• Sylvia Ware, LCSW
• Jaylin Washington, RBT
• Hannah Elizabeth Weeks, LAPC
• Hillard Weinstock, MD
• Kyra Welch, RBT
• Wellstreet of Georgia PC

• Clinical Social Worker in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.