Individual provider Active NPI

William Meade Adcock, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1851675110
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3540 Issued in KY
Practice address
2655 Dallas Hwy SW Ste 430751
Marietta, GA 30064-2597
Phone
(606) 219-0551
Fax
(866) 521-7464
NPI assigned
Oct 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6217 GA
Clinical Social Worker 1041C0700X 5268 TN
Clinical Social Worker 1041C0700X 3540 KY Primary

Addresses

Primary practice location

2655 Dallas Hwy SW Ste 430751
Marietta, GA 30064-2597

Mailing address

4378 Parkhurst St SW
Powder Springs, GA 30127-5717
Phone (606) 219-0551

Other practice location 1

4378 Parkhurst St SW
Powder Springs, GA 30127-5717
Phone (606) 219-0551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120620000798 KY Practitioner - Clinical Social Worker 8022272145 Reassigns benefits to 1 organization
Practice locations: Midway, KY
I20210805001701 GA Practitioner - Clinical Social Worker 8022272145 Reassigns benefits to 3 organizations
I20240808003186 TN Practitioner - Clinical Social Worker 8022272145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4378 Parkhurst St SW
Powder Springs, GA 30127-5717

495 Duckers Rd
Midway, KY 40347-9009
Phone (606) 219-0551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6217GAMDClinical Social Worker
3540KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Dec 26, 2023 Accepting new patients
Alpha Counseling Services, LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

732 Kennesaw Ave NW
Ste 220
Marietta, GA 30060
Phone (770) 565-4676

2655 Dallas Hwy SW
Ste 430751
Marietta, GA 30064
Phone (606) 219-0551

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

495 Duckers Rd
Midway, KY 40347
Phone (606) 219-0551

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 3

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1851675110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4378 PARKHURST ST SW",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275717",
            "telephone_number": "606-219-0551",
            "fax_number": "866-521-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW STE 430751",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642597",
            "telephone_number": "606-219-0551",
            "fax_number": "866-521-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4378 Parkhurst St SW",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301275717",
            "country_code": "US",
            "telephone_number": "606-219-0551",
            "fax_number": "866-521-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "WILLIAM",
        "middle_name": "MEADE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "6217",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5268",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.