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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TYLISAEA BONNER DSW, LCSW
NPI 1396544946
Social Worker - Clinical in Rydal, GA

Active since March 07, 2025
156 TALON DE SE, RYDAL, GA 30171(404) 851-7204 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, Mar 7, 2025 (2 updates tracked since 2025).

About Dr. Tylisaea Bonner Dsw, Lcsw NPPES

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

DR. TYLISAEA BONNER DSW, LCSW (NPI 1396544946) is an individual clinical provider in Rydal, Georgia, licensed in Georgia (CSW010655) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1396544946
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. TYLISAEA BONNERCredential: DSW, LCSW
Location Address156 TALON DE SERydal, GA 30171
Mailing Address156 Talon Dr SeRydal, GA 30171-1787 · (404) 851-7204 · Fax (404) 601-9692
Phone(404) 851-7204
Sole ProprietorYes
Enumeration DateMarch 7, 2025
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1396544946 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 · CSW010655
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.
156 TALON DE SE, Rydal, GA 30171
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tylisaea Bonner's NPI number?

The NPI number for Tylisaea Bonner is 1396544946. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Tylisaea Bonner located?

Tylisaea Bonner practices at 156 Talon De SE, Rydal, GA 30171. The listed phone number is (404) 851-7204.

What is Tylisaea Bonner'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 Tylisaea Bonner was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.