Eboni Woodard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006698 Issued in GA

Practice address

205 Wharton Circle
Atlanta, GA 30336-3033

Phone

(470) 504-1981

NPI assigned

May 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimum Glow Treatment Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Atlanta, GA
  • NPI 1770323263

  Clinical

  Medicare reassignment NPD
• Harvester Center for Growth

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1487239927
  NPD

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1972168805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 TRADITION PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491975",
            "telephone_number": "404-401-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WHARTON CIRCLE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303363033",
            "telephone_number": "470-504-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "EBONI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Woodall, CPNP
• Lesli P Woodall, PA-C
• Lucas Woodall, PA-C
• Brittany Necole Woodard, LAC
• Camilla Yonette Woodard, MS, BCBA
• Evan Dane Woodard
• Kim Woodard, M.A., M.S., LPC
• Lawrence Woodard, M.D.
• Mikayla Woodard
• Todd Woodard, PHARMD

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; 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.

Verify at the official NPI Registry.