Individual provider Active NPI

Marcella Holt, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1497381859
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009562 Issued in GA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924000125 GA Practitioner - Clinical Social Worker 6406351246 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RBT-19-91100OHMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 27, 2025 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.

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

Verify at the official NPI Registry.