Individual provider Active NPI

Feven Berhe Seyoum

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1548043227
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008693 Issued in GA
Practice address
1800 Parkway PL SE
Marietta, GA 30067-8200
Phone
(770) 568-6252
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 CSW008693 GA
School Social Worker 1041S0200X CSW008693 GA
Clinical Social Worker 1041C0700X CSW008693 GA Primary

Addresses

Primary practice location

1800 Parkway PL SE
Marietta, GA 30067-8200

Mailing address

PO Box 25
Lithia Springs, GA 30122-0025
Phone (770) 568-6252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, SC, DC, CO, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20250926003771 MA Practitioner - Clinical Social Worker 0840644597 Reassigns benefits to 1 organization
I20251002002422 SC Practitioner - Clinical Social Worker 0840644597 Reassigns benefits to 1 organization
I20251006002844 DC Practitioner - Clinical Social Worker 0840644597 Reassigns benefits to 1 organization
I20251014003554 CO Practitioner - Clinical Social Worker 0840644597 Reassigns benefits to 1 organization
I20260218001980 WA Practitioner - Clinical Social Worker 0840644597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008693GAMDClinical Social Worker
18194SCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 22, 2023 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1548043227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301220025",
            "telephone_number": "770-568-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678200",
            "telephone_number": "770-568-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYOUM",
        "first_name": "FEVEN",
        "middle_name": "BERHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW008693",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "GA",
            "license": "CSW008693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.