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TYNEISHA DONISHA DOUGLAS CLINICAL SOCIAL WORK NPI 1841683737


NPI Information

NPI: 1841683737
Provider Name: TYNEISHA DONISHA DOUGLAS, CLINICAL SOCIAL WORK
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
2274 SALEM ROAD SE
SUITE 106
CONYERS, GA
ZIP 30013
Phone: (404) 631-7716
Get Directions

Tyneisha Donisha Douglas, CLINICAL SOCIAL WORK is a clinical social worker in Conyers, GA. The provider is 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. Tyneisha Donisha Douglas, CLINICAL SOCIAL WORK NPI is 1841683737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2274 SALEM ROAD SE
SUITE 106
CONYERS, GA
ZIP 30013
Phone: (404) 631-7716

The enumeration date for this NPI number is 3/17/2015 and was last updated on 8/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLC200002835DISTRICT OF COLUMBIANo
21041C0700XSocial WorkerClinicalTPSW1094FLORIDANo
31041C0700XSocial WorkerClinicalCSW007607GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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