Melissa Brooke Ebneter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006572 Issued in GA

Practice address

3688 Kinnard Dr
Atlanta, GA 30360-1504

Phone

(404) 861-8733

NPI assigned

Aug 3, 2022

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

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1376270033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 KINNARD DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303601504",
            "telephone_number": "404-861-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 KINNARD DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303601504",
            "telephone_number": "404-861-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNETER",
        "first_name": "MELISSA",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Eberhart
• Jeffrey Ebert, P.T., D.P.T., O.C.S.
• Adesuwa Ebhotemen
• Alta B Eblin, LCSW
• Andrew Joseph Ebner, MD
• Justin Eboka, PHARMD
• Silvana Ebong
• Derek Bessem Ebot-Akoachere
• Areeb Amin Ebrahim
• Sandra L Ebrahimi, MSW

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 3, 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.