NPIMap

Organization Active NPI

Deaf Access to Quality Life

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1659995330
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEAF ACCESS TO QUALITY LIFE
Practice address
1901 Rosewood Rd
Decatur, GA 30032-7017
Phone
(215) 987-2730
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Dr. Makoto Ikegami I, DSW, LCSW, MSWNPI 1932473113
Title
Ceo/President
Phone
(215) 987-2730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1901 Rosewood Rd
Decatur, GA 30032-7017

Mailing address

1901 Rosewood Rd
Decatur, GA 30032-7017
Phone (215) 987-2730

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address makoto@makotolcsw.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1659995330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ROSEWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300327017",
            "telephone_number": "215-987-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ROSEWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300327017",
            "telephone_number": "215-987-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAF ACCESS TO QUALITY LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "IKEGAMI",
        "authorized_official_first_name": "MAKOTO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "215-987-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DSW, LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "makoto@makotolcsw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 Rosewood Rd",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300327017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.