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EBONY C BOOKER LCSW
NPI 1689288045
Social Worker - Clinical in College Park, GA

Active since September 03, 2020PECOS Enrolled
135 ALICANTE ST, COLLEGE PARK, GA 30349(404) 707-5743 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ebony C Booker Lcsw NPPES

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

EBONY C BOOKER LCSW (NPI 1689288045) is an individual clinical provider in College Park, Georgia, licensed in Georgia (CSW006762) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689288045
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONY C BOOKERCredential: LCSW
Location Address135 ALICANTE STCollege Park, GA 30349-8493
Mailing Address135 Alicante StCollege Park, GA 30349-8493 · (404) 707-5743
Phone(404) 707-5743
Sole ProprietorNo
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1689288045 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 · CSW006762
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.
135 ALICANTE ST, College Park, GA 30349
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony C Booker Lcsw 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

4

Medicare enrollment records show Ebony Booker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Southeast Permanente Medical Group
20 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Grow Healthcare Group PA
595 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia and New York enrollments
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Valera Medical, P.C.
760 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748
Sondermind Provider Network LLC
1,214 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Georgia enrollment
  • 206 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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 30349 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.

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 Ebony Booker's NPI number?

The NPI number for Ebony Booker is 1689288045. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Ebony Booker located?

Ebony Booker practices at 135 Alicante St, College Park, GA 30349. The listed phone number is (404) 707-5743.

What is Ebony Booker's specialty?

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

Is Ebony Booker enrolled in Medicare?

Yes. Ebony Booker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ebony Booker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Booker reassigns Medicare benefits to 4 organizations: The Southeast Permanente Medical Group (Atlanta, GA), Grow Healthcare Group PA (Miami, FL), Valera Medical, P.C. (Brooklyn, NY) and Sondermind Provider Network LLC (Denver, CO). 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 Ebony Booker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Booker accept?

Health plans from Alliant Health Plans, Inc., Cigna HealthCare of Florida, Inc., Cigna Healthcare, Moda Health Plan, Inc. and UnitedHealthcare list Ebony Booker 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 Ebony Booker was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.