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DR. RENA M GLASS-DIXON PHD, LCSW
NPI 1104301670
Social Worker - Clinical in Conyers, GA

Active since September 30, 2018
990 IRIS DR SW STE 103, CONYERS, GA 30094(770) 369-9984(770) 369-9984 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2020, Sep 30, 2018 (2 updates tracked since 2018).

About Dr. Rena M Glass-dixon Phd, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RENA M GLASS-DIXON PHD, LCSW (NPI 1104301670) is an individual clinical provider in Conyers, Georgia, licensed in Georgia (CSW004345) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1104301670
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. RENA M GLASS-DIXONCredential: PHD, LCSW
Location Address990 IRIS DR SW STE 103Conyers, GA 30094-6602
Mailing AddressPo Box 82653Conyers, GA 30013-9439 · (404) 388-7981
Phone(770) 369-9984
Fax(770) 369-9984
Sole ProprietorYes
Enumeration DateSeptember 30, 2018
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
✔ NPI 1104301670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW004345
Definition

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.

990 IRIS DR SW STE 103, Conyers, GA 30094
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Other Identifiers 1

OtherCSW004345GA · State Of Georgia Clinical Social Worker

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STREAMS OF LIFE COUNSELING AND EDUCATIONAL SERVICES, LLC
Social Worker (Clinical)
990 IRIS DR SW STE 103
CONYERS, GA 30094
Rockdale County (770) 369-9984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rena Glass-dixon's NPI number?

The NPI number for Rena Glass-dixon is 1104301670. It was assigned to this individual provider in the NPPES registry on September 30, 2018.

Where is Rena Glass-dixon located?

Rena Glass-dixon practices at 990 Iris Dr SW Ste 103, Conyers, GA 30094. The listed phone number is (770) 369-9984.

What is Rena Glass-dixon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Rena Glass-dixon was last updated on January 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.