Individual provider Active NPI

Melissa G Grasso, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1548501331
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004784 Issued in GA
Practice address
199 Armour Dr NE Ste E
Atlanta, GA 30324-3975
Phone
(404) 618-3050
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 CSW004784 GA Primary

Addresses

Primary practice location

199 Armour Dr NE Ste E
Atlanta, GA 30324-3975

Mailing address

199 Armour Dr NE Ste E
Atlanta, GA 30324-3975
Phone (404) 618-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intown Psychological Associates LLC CurrentSince May 4, 2013 Accepting new patients
Intown Counseling & Wellness Past Accepting new patients
Tamara Weiss, M.D., LLC PastSince May 4, 2013 Accepting new patients

Locations

501 Pulliam St SW
Ste 407
Atlanta, GA 30312
Phone (404) 474-7021

Organizations & group practices 3

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1548501331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 ARMOUR DR NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243975",
            "telephone_number": "404-618-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ARMOUR DR NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243975",
            "telephone_number": "404-618-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "MELISSA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.