1. Home
  2. Directory
  3. Georgia
  4. Brookhaven
  5. Social Worker
  6. NPI Profile

MAXINE JEAN DOUGLAS LCSW
NPI 1871181974
Social Worker - Clinical in Brookhaven, GA

Active since January 05, 2021PECOS Enrolled
10 PERIMETER SUMMIT BLVD NE UNIT 4408, BROOKHAVEN, GA 30319(404) 468-3284(678) 309-1039 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Maxine Jean Douglas Lcsw NPPES

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

MAXINE JEAN DOUGLAS LCSW (NPI 1871181974) is an individual clinical provider in Brookhaven, Georgia, licensed in Georgia (CSW005840) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1871181974
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAXINE JEAN DOUGLASCredential: LCSW
Location Address10 PERIMETER SUMMIT BLVD NE UNIT 4408Brookhaven, GA 30319-1487
Mailing Address10 Perimeter Summit Blvd Ne Unit 4408Brookhaven, GA 30319-1487 · (404) 468-3284 · Fax (678) 309-1039
Phone(404) 468-3284
Fax(678) 309-1039
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1871181974 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 · CSW005840
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.
10 PERIMETER SUMMIT BLVD NE UNIT 4408, Brookhaven, GA 30319
Open in Google Maps ↗

Other Names 1

Former Name (1)Maxine Jean Zandieh Msw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Maxine Jean Douglas Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385712355
PECOS Enrollment IDI20260320003816
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

3

Medicare enrollment records show Maxine Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uplift Behavioral Health PC
534 mi
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group
NPI 1629740410 (202) 932-7607
Grow Healthcare Group PA
613 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Me Living Inc
1,971 mi
Mental Health (Including Community Mental Health Center)
200 HEWLETT ST
Bakersfield, CA 93309
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1841037231 (888) 635-1022

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 30319 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 Maxine Douglas's NPI number?

The NPI number for Maxine Douglas is 1871181974. It was assigned to this individual provider in the NPPES registry on January 5, 2021. The provider is also known as Maxine Jean Zandieh Msw.

Where is Maxine Douglas located?

Maxine Douglas practices at 10 Perimeter Summit Blvd NE Unit 4408, Brookhaven, GA 30319. The listed phone number is (404) 468-3284.

What is Maxine Douglas's specialty?

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

Is Maxine Douglas enrolled in Medicare?

Yes. Maxine Douglas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maxine Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxine Douglas reassigns Medicare benefits to 3 organizations: Uplift Behavioral Health PC (Bethesda, MD), Grow Healthcare Group PA (Miami, FL) and Me Living Inc (Bakersfield, CA). 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 Maxine Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maxine Douglas accept?

Health plans from Oscar Health and UnitedHealthcare list Maxine Douglas 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 Maxine Douglas was last updated on January 5, 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.