Individual provider Active NPI

Carlene Verona Battiste-Downie, LCSW

  • Clinical Social Worker
  • Kennesaw, GA
National Provider Identifier
1780848093
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007093 Issued in GA
Practice address
3745 Cherokee St NW Ste 903
Kennesaw, GA 30144-6782
Phone
(770) 284-9092
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007093 GA Primary

Addresses

Primary practice location

3745 Cherokee St NW Ste 903
Kennesaw, GA 30144-6782

Mailing address

3745 Cherokee St NW Ste 903
Kennesaw, GA 30144-6782
Phone (770) 284-9092

Other practice location 1

402 W 41st St
New York, NY 10036-6803
Phone (212) 465-0975 ext. 415

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200512003207 GA Practitioner - Clinical Social Worker 4082045737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1910 Brackendale Rd NW
Kennesaw, GA 30152-7749
Phone (917) 627-9835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Professional Counseling Services Clinical CurrentSince Jan 28, 2021 Accepting new patients

Locations

8950 SW 74th Ct
Ste 2201
Miami, FL 33156
Phone (305) 238-9855

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1780848093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 CHEROKEE ST NW STE 903",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446782",
            "telephone_number": "770-284-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 CHEROKEE ST NW STE 903",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446782",
            "telephone_number": "770-284-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 W 41st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100366803",
            "country_code": "US",
            "telephone_number": "212-465-0975 x415",
            "fax_number": "212-594-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTISTE-DOWNIE",
        "first_name": "CARLENE",
        "middle_name": "VERONA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.