Yelta P Malone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003422 Issued in GA

Practice address

3912 Cedar Cir
Tucker, GA 30084-7339

Phone

(770) 414-9742

Fax

(770) 414-8296

NPI assigned

Jun 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Psychiatric and Psychotherapy Consulting, LLCGroup PAC ID 3779727698, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Psychiatric and Psychotherapy Consulting, LLC

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1134565062
  Medicare reassignment Care Compare group NPD
• Life Healing Center PC

  • Psychiatry Physician
  • Snellville, GA
  • NPI 1104149160
  NPD

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1306074877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 CEDAR CIR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847339",
            "telephone_number": "770-414-9742",
            "fax_number": "770-414-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 CEDAR CIR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847339",
            "telephone_number": "770-414-9742",
            "fax_number": "770-414-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "YELTA",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Integrated Health, LLC
• Magnolia Speech & Literacy Specialists
• Baagan Mahama
• Majestic Hospice and Palliative Care, LLC
• Valeria Joan Maldonado Cartagena, DC
• Kaylan Maloney, LAPC
• Mehtab Manji
• Atul Dave Manocha, PHARM.D
• Bessie A Manohar, M.D.
• Mandana Manouchehri, PHARMD

• Clinical Social Worker in Tucker, GA
• Providers in Tucker, 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 Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.