Active NPI
William Meade Adcock, LCSW
- Clinical Social Worker
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6217 | GA | MD | Clinical Social Worker |
| 3540 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Alpha Counseling Services, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marietta, GA
- NPI 1285994897
GA
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.