Active NPI
Marcella Holt, LCSW
- Clinical Social Worker
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW009562
- Practice address
- 1212 James Jackson Pkwy NW Apt 203
Atlanta, GA 30318-0659 - Phone
- (404) 780-6716
- NPI assigned
- Mar 18, 2020
- Last updated
- Mar 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | CSW009562 | GA | Primary |
| Behavior Technician | 106S00000X | RBT-19-91100 | OH |
Addresses
Primary practice location
1212 James Jackson Pkwy NW Apt 203
Atlanta, GA 30318-0659
Mailing address
1212 James Jackson Pkwy NW Apt 203
Atlanta, GA 30318-0659
Phone (404) 780-6716
Other practice location 1
831 Fairways Ct # A
Stockbridge, GA 30281-7278
Phone (770) 389-1925
Other practice location 2
3800 Camp Creek Pkwy SW Ste 100
Atlanta, GA 30331-6247
Phone (770) 999-9271
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1212 James Jackson Pkwy NW
Apt 203
Atlanta, GA 30318-0659
500 Westover Dr
Sanford, NC 27330-8941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-91100 | OH | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
Organizations & group practices 1
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.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1497381859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 JAMES JACKSON PKWY NW APT 203",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303180659",
"telephone_number": "404-780-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 JAMES JACKSON PKWY NW APT 203",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303180659",
"telephone_number": "404-780-6716"
}
],
"practiceLocations": [
{
"address_1": "831 Fairways Ct # A",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302817278",
"country_code": "US",
"telephone_number": "770-389-1925",
"fax_number": "770-389-3077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Camp Creek Pkwy SW Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303316247",
"country_code": "US",
"telephone_number": "770-999-9271",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "MARCELLA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW009562",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT-19-91100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.