Individual provider Active NPI

Karlise Newman

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1538647383
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009549 Issued in GA
Practice address
270 Carpenter Dr
Atlanta, GA 30328-4931
Phone
(718) 502-0386
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 CSW009549 GA Primary

Addresses

Primary practice location

270 Carpenter Dr
Atlanta, GA 30328-4931

Mailing address

721 Ridge Brook TRL
Duluth, GA 30096-6806
Phone (718) 502-0386

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
I20250414002226 GA Practitioner - Clinical Social Worker 6901320761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW009549GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Backpack Medical Group, P.C. Clinical CurrentSince Apr 14, 2025 Accepting new patients
Linnel Inc PastSince Sep 5, 2023 Accepting new patients

Locations

191 Peachtree St NE
Ste 1400
Atlanta, GA 30303

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1538647383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RIDGE BROOK TRL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966806",
            "telephone_number": "718-502-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284931",
            "telephone_number": "718-502-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KARLISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.