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FANIKE-KIARA OLUGBALA YOUNG LCSW
NPI 1407136146
Social Worker - Clinical in Atlanta, GA

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment
157 FORSYTH ST SW, ATLANTA, GA 30303(770) 502-5593 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fanike-kiara Olugbala Young Lcsw NPPES

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

FANIKE-KIARA OLUGBALA YOUNG LCSW (NPI 1407136146) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW004694) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1407136146
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameFANIKE-KIARA OLUGBALA YOUNGCredential: LCSW
Location Address157 FORSYTH ST SWAtlanta, GA 30303-3634
Mailing Address2283 Nottley WalkMarietta, GA 30066-8610 · (770) 502-5593
Phone(770) 502-5593
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 25, 2011
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1407136146 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 · CSW004694
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.
157 FORSYTH ST SW, Atlanta, GA 30303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fanike-kiara Olugbala Young Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729239314
PECOS Enrollment IDI20121107000451
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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 4

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

TANGU PHASE II, INC
Social Worker (Clinical)
157 FORSYTH ST SW
ATLANTA, GA 30303
Fulton County (404) 523-4599
WALKER FAMILY SERVICES LLC
Community/Behavioral Health
157 FORSYTH ST SW
ATLANTA, GA 30303
Fulton County (504) 615-5472
WALKER FAMILY SERVICES LLC
Community/Behavioral Health
157 FORSYTH ST SW
ATLANTA, GA 30303
Fulton County (504) 615-5472
MR. FREDERICK WALKER JR. LCSW
Social Worker (Clinical)
157 FORSYTH ST SW
ATLANTA, GA 30303
Fulton County (678) 554-8200

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 Fanike-kiara Young's NPI number?

The NPI number for Fanike-kiara Young is 1407136146. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Fanike-kiara Young located?

Fanike-kiara Young practices at 157 Forsyth St SW, Atlanta, GA 30303. The listed phone number is (770) 502-5593.

What is Fanike-kiara Young's specialty?

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

Is Fanike-kiara Young enrolled in Medicare?

Yes. Fanike-kiara Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Fanike-kiara Young was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.