Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Makoto Ikegami, DSW, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1932473113

Dr. Makoto Ikegami, DSW, MSW, LCSW is a Clinical Social Worker in Decatur, Georgia. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia and Pennsylvania.

Years since qualifying
7
Licensed in
FL, GA, PA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1901 Rosewood Rd
Decatur, GA 30032-7017
Phone: (470) 763-5282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW006447 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW017519 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW14355 (FL)

Record details

NPI number1932473113
Entity typeIndividual (Type 1)
GenderMale
Credentials DSW , MSW , LCSW
Sole proprietorNo
NPI enumeratedMarch 6, 2012
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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