Stephanie Wachs Makanga

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007015 Issued in GA

Practice address

515 E Ponce de Leon Ave
Decatur, GA 30030-1941

Phone

(770) 589-0788

NPI assigned

Jun 13, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1689242018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 ROLLINGWOOD DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164424",
            "telephone_number": "214-535-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301941",
            "telephone_number": "770-589-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKANGA",
        "first_name": "STEPHANIE",
        "middle_name": "WACHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lynette Mainer, FNP
• Mainspring Counseling and Training Services, LLC
• Yolanda Denise Major, R.N.
• Diwan Majors
• Mak Anesthesia Decatur LLC
• Antoinette Makarewicz, BSN, RN
• Kirsten Hawkins Malerba, PT, DPT, PCS
• Malina Chiropractic Clinic LLC
• Rachel Malina, PT, DPT
• Whitney Malina, DC,BS

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, 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 Mar 26, 2024; 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.