360 Client Solutions & Professional Services, LLC
Organization Active NPI Clinical Social Worker · Fayetteville, GA
NPI 1386530640 · NPPES record last updated May 4, 2026
Key facts
- NPI
- 1386530640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- 360 CLIENT SOLUTIONS & PROFESSIONAL SERVICES, LLC
- Practice address
- 1415 Highway 85 N Ste 310-248
Fayetteville, GA 30214-7738 - Phone
- (404) 954-2886
- NPI assigned
- Jun 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Malika Washington, LCSW
- Title
- LCSW/Owner
- Phone
- (404) 954-2886
Practitioners 1
-
Malika Washington, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250904000190 | GA | Part B Supplier - Clinic/Group Practice | 0345742946 |
Receives reassigned benefits from 1 practitioner Practice locations: Fayetteville, GA |
National Provider Directory
Locations
1415 Highway 85 N
Ste 310248
Fayetteville, GA 30214
Phone (404) 954-2886
1415 Highway 85 N
Ste 248
Fayetteville, GA 30214
Phone (404) 954-2886
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
1415 Highway 85 N Ste 310-248
Fayetteville, GA 30214-7738
Mailing address
1415 Highway 85 N Ste 310-248
Fayetteville, GA 30214-7738
Phone (404) 954-2886
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All providers in Fayetteville, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.