Individual provider Active NPI

Maria L Bejacmar-Didier, LCSW

  • Clinical Social Worker
  • Conyers, GA
National Provider Identifier
1447378971
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003742 Issued in GA
Practice address
2385 Wall St SE
Conyers, GA 30013-2187
Phone
(678) 849-0324
NPI assigned
Mar 26, 2007
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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 CSW003742 GA Primary

Addresses

Primary practice location

2385 Wall St SE
Conyers, GA 30013-2187

Mailing address

2608 High St SW
Conyers, GA 30094-6843
Phone (678) 849-0324

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070503000323 GA Practitioner - Clinical Social Worker 5294831525 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CSW003742GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Center for Behavioral and Developmental Growth CurrentSince Dec 5, 2022 Accepting new patients
Psychiatry and Wellness of Georgia, LLC CurrentSince Nov 17, 2025 Accepting new patients
Pathways Center for Behavioral and Developmental Growth CurrentSince Dec 5, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Fulton County Mhddad Past Accepting new patients
Mental Health Family Services, LLC Clinical PastSince Apr 1, 2008 Accepting new patients
Pathways Center for Behavioral & Developmental Growth PastSince Nov 24, 2019 Accepting new patients
Fulton County Mental Health Center Past Accepting new patients
Virtuous Behavioral Health Services, LLC. Clinical Past Accepting new patients

Locations

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

122 Gordon Commercial Dr
Ste C
Lagrange, GA 30240
Phone (678) 854-2150

620 Colonial Park Dr
Ste 100
Roswell, GA 30075
Phone (678) 439-0017

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1447378971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 HIGH ST SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946843",
            "telephone_number": "678-849-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 WALL ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132187",
            "telephone_number": "678-849-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJACMAR-DIDIER",
        "first_name": "MARIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.