Marquita Thomas-Buchanan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007154 Issued in GA

Practice address

3372 Acworth Summit Blvd NW
Acworth, GA 30101-5770

Phone

(770) 695-7614

NPI assigned

Apr 7, 2023

Last updated

Apr 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1609561414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 ACWORTH SUMMIT BLVD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 ACWORTH SUMMIT BLVD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015770",
            "telephone_number": "770-695-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-BUCHANAN",
        "first_name": "MARQUITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Kroger Co (Kroger Pharmacy)
• The Payne Center PC
• The Village ABA Services LLC
• The Weston Group Inc. (The Weston Health Care Group Inc)
• Therapy With Dr. G, LLC
• Samantha Thomas, COTA/L
• Susan Thomas
• Charles Edward Thomason, BS
• Rachael Thomason
• Harry Franklin Thompson Jr., RPH

• Clinical Social Worker in Acworth, GA
• Providers in Acworth, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.