IndividualActive
Matthew Ottenweller
NPI 1255875282 · Clinical Social Worker · Tucker, GA
Provider details
- NPI number
- 1255875282
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MSW006423 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4500 Hugh Howell Rd Ste 410
Tucker, GA 30084-4732
Phone: (404) 594-2940
Street-level locationGet directions
Mailing address
838 Barton Woods Rd Ne
Atlanta, GA 30307-1306
Additional practice locations (1)
- 838 Barton Woods Rd NeAtlanta, GA 30307-1306Phone: (720) 365-7767
Registry dates
- Enumerated
- 2016-12-09
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.