Malika Washington, LCSW
Individual provider Active NPI Clinical Social Worker · Fayetteville, GA
NPI 1619791464 · NPPES record last updated May 4, 2026
Key facts
- NPI
- 1619791464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW009026 (GA)
- Practice address
- 1415 Highway 85 N Ste 310-248
Fayetteville, GA 30214-7738 - Phone
- (678) 683-8615
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1415 Hwy 85 N
Suite 310 248
Fayetteville, GA 30214-7738
Phone (404) 954-2886
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904000341 | GA | Practitioner - Clinical Social Worker | 1254833858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Client Solutions & Professional Services, LLC | Clinical | Current |
Accepting new patients |
Locations
1415 Highway 85 N
Ste 310248
Fayetteville, GA 30214
Phone (404) 954-2886
1415 Highway 85 N
Ste 248
Fayetteville, GA 30214
Phone (404) 954-2886
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW009026 | GA | |
| Clinical Social Worker | 1041C0700X | CSW009026 | GA | Yes |
Addresses
Primary practice location
1415 Highway 85 N Ste 310-248
Fayetteville, GA 30214-7738
Mailing address
1415 Highway 85 N Ste 310-248
Fayetteville, GA 30214-7738
Phone (678) 683-8615
Other providers in Fayetteville, GA
- Connie M Ward
- Kara Ward
- Amy Warner
- Amia Lynn Washington
- Jennifer Washington
- Mallory Washington
- Natasha Washington
- Yolanda Alfreda Washington
- Waterfall Emergency Physicians, LLC
- Waterfall Emergency Physicians, LLC
All providers in Fayetteville, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.