Mariann Mamberg, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004445 Issued in GA

Practice address

1850 Highgrove Club Dr
Alpharetta, GA 30004-6958

Phone

(561) 504-8541

Fax

(770) 557-1877

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By 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, NJ2 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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1760886295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HIGHGROVE CLUB DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046958",
            "telephone_number": "561-504-8541",
            "fax_number": "770-557-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HIGHGROVE CLUB DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046958",
            "telephone_number": "561-504-8541",
            "fax_number": "770-557-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMBERG",
        "first_name": "MARIANN",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhan Javed Malik, M.D.
• Jordan Louis Mallamace, DC
• Marissa Malloy
• Jacqueline Michelle Malone, DMD, MS
• Danya Maloon, LMSW
• Pavan Kumar Mamilla, M.D
• Charmaine Claudine Manalo
• Meredith Kenny Maneira, SLP
• Kiley Elizabeth Manetta, D.O.
• Navdeep Mangat, MD

• Clinical Social Worker in Alpharetta, GA
• Providers in Alpharetta, 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 Oct 13, 2014; 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.