P Praxis·MD
● Active Type 1 · Individual

Ebony C Booker, LCSW

Social Worker·College Park, GA· NPI 1689288045 · Enumerated 2020 · 5 years on NPI
Booker is 1 of 13 social worker providers in College Park and 1 of 5654 in Georgia.
NPI age
5 years
Enumerated 2020-09-03
Primary specialty
Social Worker
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
135 Alicante St
College Park, GA 303498493
📞 4047075743
Mailing address
135 Alicante St
College Park, GA 303498493
📞 4047075743

Specialties

  • Social Worker Primary
    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...
    GA license #CSW006762 taxonomy 1041C0700X

Identifiers

TypeValueNotes
01 NONE NONE

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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