Individual provider Active NPI

Malakeia Scott, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1306216775
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008935 Issued in GA
Practice address
3750 Palladian Village Dr Ste 110
Marietta, GA 30066-8202
Phone
(678) 265-8361
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008935 GA Primary

Addresses

Primary practice location

3750 Palladian Village Dr Ste 110
Marietta, GA 30066-8202

Mailing address

3750 Palladian Village Dr
Marietta, GA 30066-8200
Phone (678) 265-8361

Other identifiers 1

IdentifierTypeStateIssuer
421205MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008935GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Behavioral Health & Wellness, LLC Clinical CurrentSince Apr 25, 2024 Accepting new patients
Strongtower Behavioral Healthcare LLC CurrentSince Aug 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Sep 25, 2019 Accepting new patients

Locations

3750 Palladian Village Dr
Ste 110
Marietta, GA 30066
Phone (678) 265-8361

145 Church St NE
Ste 105
Marietta, GA 30060
Phone (404) 618-6955

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFFFBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1306216775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 PALLADIAN VILLAGE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668200",
            "telephone_number": "678-265-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 PALLADIAN VILLAGE DR STE 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668202",
            "telephone_number": "678-265-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MALAKEIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421205",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.