Individual provider Active NPI

Max Samuel Greyson, LMSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1891618518
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW011841 Issued in GA
Practice address
1666 Cedar Bluff Way
Marietta, GA 30062-3236
Phone
(770) 865-8997
NPI assigned
Jul 31, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW011841 GA
Clinical Social Worker 1041C0700X MSW011841 GA Primary

Addresses

Primary practice location

1666 Cedar Bluff Way
Marietta, GA 30062-3236

Mailing address

1666 Cedar Bluff Way
Marietta, GA 30062-3236
Phone (770) 865-8997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1891618518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 CEDAR BLUFF WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623236",
            "telephone_number": "770-865-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 CEDAR BLUFF WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623236",
            "telephone_number": "770-865-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREYSON",
        "first_name": "MAX",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW011841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.