Individual provider Active NPI

Sharika D Gardner Spates, LCSW

  • Clinical Social Worker
  • Loganville, GA
National Provider Identifier
1912656885
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007825 Issued in GA
Practice address
3753 Okefenokee RDG
Loganville, GA 30052-3382
Phone
(404) 216-2808
NPI assigned
Mar 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34011858A IN
Clinical Social Worker 1041C0700X LCSW-23281 AZ
Clinical Social Worker 1041C0700X 115518 IA
Clinical Social Worker 1041C0700X CSW007825 GA Primary

Addresses

Primary practice location

3753 Okefenokee RDG
Loganville, GA 30052-3382

Mailing address

3753 Okefenokee RDG
Loganville, GA 30052-3382
Phone (404) 216-2808

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.Ableto.com

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: No
  • 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23281AZMDClinical Social Worker
CSW007825GAMDClinical Social Worker
115518IAMDClinical Social Worker
34011858AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Feb 11, 2025 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

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": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1912656885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 OKEFENOKEE RDG",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523382",
            "telephone_number": "404-216-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 OKEFENOKEE RDG",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523382",
            "telephone_number": "404-216-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER SPATES",
        "first_name": "SHARIKA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011858A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23281",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "115518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.Ableto.com",
            "affiliation": "N",
            "address_1": "3753 Okefenokee Rdg",
            "city": "Loganville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300523382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.