Organization Active NPI

ML Enrichment Services Inc.

  • Clinical Social Worker
  • Douglasville, GA
National Provider Identifier
1447539671
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003799 Issued in GA
Legal business name
ML ENRICHMENT SERVICES INC.
Practice address
5682 Palazzo Way
Unit 101
Douglasville, GA 30134-2500
Phone
(404) 397-1976
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Mrs. Michelle Lindsay-Bailey, LCSWNPI 1215958897
Title
Owner
Phone
(404) 397-1976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW003799 GA Primary

Addresses

Primary practice location

5682 Palazzo Way
Unit 101
Douglasville, GA 30134-2500

Mailing address

5682 Palazzo Way
Suite 101
Douglasville, GA 30134-2500
Phone (404) 397-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150120002153 GA Part B Supplier - Clinic/Group Practice 5799009882 Receives reassigned benefits from 1 practitioner
Practice locations: Douglasville, GA

National Provider Directory

National Provider Directory

Locations

5682 Palazzo Way
Ste 101
Douglasville, GA 30134
Phone (404) 397-1976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1447539671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5682 PALAZZO WAY",
            "address_2": "SUITE 101",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342500",
            "telephone_number": "404-397-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5682 PALAZZO WAY",
            "address_2": "UNIT 101",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342500",
            "telephone_number": "404-397-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML ENRICHMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "LINDSAY-BAILEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-397-1976",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.