Maryana Kleyn, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW008449 Issued in GA

Practice address

775 West Ave Ste a
Cartersville, GA 30120-3482

Phone

(770) 887-1668

Fax

(770) 781-9937

NPI assigned

Jun 4, 2021

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

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 1

Specialty

Mental Health Counselor

Education

Rutgers New Jersey Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Highlands Medical Services, Inc.Group PAC ID 5890682017, 8 clinicians

Practice addresses (Care Compare)

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.

• Georgia Highlands Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cumming, GA
  • NPI 1174529192
  Medicare reassignment Care Compare group NPD
• Georgia Highlands Medical Services Inc

  • Federally Qualified Health Center (FQHC)
  • Buford, GA
  • NPI 1427762707
  NPD
• Georgia Highlands Medical Services, Inc

  dba Highlands Medical Plaza

  • Federally Qualified Health Center (FQHC)
  • Cumming, GA
  • NPI 1407306418
  NPD
• Georgia Highlands Medical Services Inc

  • Federally Qualified Health Center (FQHC)
  • Cumming, GA
  • NPI 1194987412
  NPD (past)
• Georgia Highlands Medical Services, Inc

  dba Dawsonville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Dawsonville, GA
  • NPI 1124565650
  NPD (past)
• Georgia Highlands Medical Services, Inc.

  dba Georgia Highlands Medical Services, Inc. - Canton

  • Federally Qualified Health Center (FQHC)
  • Canton, GA
  • NPI 1063419422
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1669049169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 ELM ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402467",
            "telephone_number": "770-887-1668",
            "fax_number": "770-781-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WEST AVE STE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203482",
            "telephone_number": "770-887-1668",
            "fax_number": "770-781-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11675 Century Dr Unit C",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300098367",
            "country_code": "US",
            "telephone_number": "678-740-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEYN",
        "first_name": "MARYANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW008449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice King-Heard
• Glen R King, M.D.
• Laura Poulsen King, CRNA
• Catherine Claire Kiser, DC
• Cody Daniel Klette, CPNP-PC
• Brandi D Knight, FNP
• Christopher Keith Knitig, DO
• Kavita Kotte, M.D.
• Raymond J. Kotwicki, MD, MPH
• Sharadha Krishnappan, DPM

• Social Worker in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.