Organization Active NPI

Trademark Child and Family Services Inc

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1245865633
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRADEMARK CHILD AND FAMILY SERVICES INC
Practice address
2001 MLK Dr SW Ste 402
Atlanta, GA 30310-5802
Phone
(470) 775-3195
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mychal Cooper, LCSWNPI 1881940559
Title
Owner
Phone
(270) 312-5386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2001 MLK Dr SW Ste 402
Atlanta, GA 30310-5802

Mailing address

441 Walnut Creek Dr
Stockbridge, GA 30281-5878
Phone (470) 775-3195

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://trademarkhelps.vsee.me/u/clinic Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210108002082 GA Part B Supplier - Clinic/Group Practice 4385057447 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2001 Martin Luther King Jr Dr SW
Ste 402
Atlanta, GA 30310
Phone (470) 775-3195

4751 Best Rd
Ste 400R
College Park, GA 30337
Phone (404) 936-4030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1245865633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WALNUT CREEK DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815878",
            "telephone_number": "470-775-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MLK DR SW STE 402",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105802",
            "telephone_number": "470-775-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADEMARK CHILD AND FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MYCHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-312-5386",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://trademarkhelps.vsee.me/u/clinic",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant PHI exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA Compliant Information exchange",
            "address_1": "2001 Mlk Dr SW Ste 402",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303105802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.