Individual provider Active NPI

Maria Rhodes Walker, LCSW

  • Clinical Social Worker
  • Stone Mountain, GA
National Provider Identifier
1497176671
Registry record updated Dec 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004534 Issued in GA
Practice address
837 Deerfield CT
Stone Mountain, GA 30087-5483
Phone
(404) 386-2687
NPI assigned
Dec 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2013

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 CSW004534 GA Primary

Addresses

Primary practice location

837 Deerfield CT
Stone Mountain, GA 30087-5483

Mailing address

837 Deerfield CT
Stone Mountain, GA 30087-5483
Phone (404) 386-2687

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
I20140205000967 GA Practitioner - Clinical Social Worker 9638308026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

1372 Peachtree St NE
Ofc 221
Atlanta, GA 30309-3248
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW004534GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Transitions, LLC Clinical CurrentSince Dec 19, 2013 Accepting new patients

Locations

2940 Johnson Ferry Rd
Ste B127
Marietta, GA 30062
Phone (678) 637-7166

Organizations & group practices 2

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": "1386979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386979200000",
    "number": "1497176671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 DEERFIELD CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875483",
            "telephone_number": "404-386-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 DEERFIELD CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875483",
            "telephone_number": "404-386-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARIA",
        "middle_name": "RHODES",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-14",
        "last_updated": "2013-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.