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MARY LANE LISW
NPI 1215450234
Social Worker - Clinical in Atlanta, GA

Active since July 21, 2017PECOS Enrolled
1401 HOSEA WILLIAMS DR SE, ATLANTA, GA 30317(404) 373-6614 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 16, 2021, Sep 21, 2020, Jul 21, 2017 (3 updates tracked since 2017).

About Mary Lane Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LANE LISW (NPI 1215450234) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW007041) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215450234
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY LANECredential: LISW
Location Address1401 HOSEA WILLIAMS DR SEAtlanta, GA 30317-1703
Mailing Address1353 George W Brumley Way SeAtlanta, GA 30317-1743 · (404) 373-6614 · Fax (404) 373-2926
Phone(404) 373-6614
Sole ProprietorNo
Enumeration DateJuly 21, 2017
Last NPPES UpdateJuly 16, 20213 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1215450234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW007041
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1401 HOSEA WILLIAMS DR SE, Atlanta, GA 30317
Open in Google Maps ↗

Other Identifiers 1

Medicaid003244836AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Lane Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Lane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meridian Education Resource Group, Inc.
Same address
Federally Qualified Health Center (FQHC)
1401 HOSEA WILLIAMS DR SE
Atlanta, GA 30317
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1730305004 (404) 373-6614
Mccd Fl Psychiatry Services PA
283 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Georgia enrollment
  • 66 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30317 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERIDIAN EDUCATION RESOURCE GROUP, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1401 HOSEA WILLIAMS DR SE
ATLANTA, GA 30317
Dekalb County (404) 373-6614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lane's NPI number?

The NPI number for Mary Lane is 1215450234. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Mary Lane located?

Mary Lane practices at 1401 Hosea Williams Dr SE, Atlanta, GA 30317. The listed phone number is (404) 373-6614.

What is Mary Lane's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Lane enrolled in Medicare?

Yes. Mary Lane is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lane reassigns Medicare benefits to 2 organizations: Meridian Education Resource Group, Inc. (Atlanta, GA) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Lane accept?

Health plans from Medica, Oscar Health and UnitedHealthcare list Mary Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Lane was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.