Active NPI
Trademark Child and Family Services Inc
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1245865633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mychal Cooper, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1881940559
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.