OrganizationActive
In Depth Therapy, LLC
NPI 1972017929 · Clinical Social Worker · Athens, GA
Provider details
- NPI number
- 1972017929
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Perry Malcolm, Owner(706) 201-9112
- License
- CSW002504 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
485 Huntington Rd Ste 197
Athens, GA 30606-1845
Phone: (706) 201-9112
Street-level locationGet directions
Mailing address
135 Greencrest Dr
Athens, GA 30605-3825
Registry dates
- Enumerated
- 2017-11-29
- Last updated
- 2017-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.