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RAVEN SHONICE TRAYLOR LCSW
NPI 1467919068
Social Worker - Clinical in Lilburn, GA

Active since March 01, 2019PECOS Enrolled
1016 MANDALAY CT SW, LILBURN, GA 30047(318) 267-9945 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2025, Mar 1, 2019 (2 updates tracked since 2019).

About Raven Shonice Traylor Lcsw NPPES

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

RAVEN SHONICE TRAYLOR LCSW (NPI 1467919068) is an individual clinical provider in Lilburn, Georgia, licensed in Georgia (CSW009366) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1467919068
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRAVEN SHONICE TRAYLORCredential: LCSW
Location Address1016 MANDALAY CT SWLilburn, GA 30047-4225
Mailing Address1016 Mandalay Ct SwLilburn, GA 30047-4225 · (318) 267-9945
Phone(318) 267-9945
Sole ProprietorNo
Enumeration DateMarch 1, 2019
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1467919068 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 · CSW009366
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.
1016 MANDALAY CT SW, Lilburn, GA 30047
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Secondary Practice Location 1

Location 1806 N 31st St Ste DMonroe, LA 71201-3900 · Phone (318) 855-3868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Shonice Traylor Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raven Traylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bluegold Health LLC
19 mi
Mental Health
3635 SILVER SPRINGS RD
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1285483891 (404) 583-2859

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Raven Traylor's NPI number?

The NPI number for Raven Traylor is 1467919068. It was assigned to this individual provider in the NPPES registry on March 1, 2019.

Where is Raven Traylor located?

Raven Traylor practices at 1016 Mandalay Ct SW, Lilburn, GA 30047. The listed phone number is (318) 267-9945.

What is Raven Traylor's specialty?

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

Is Raven Traylor enrolled in Medicare?

Yes. Raven Traylor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raven Traylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raven Traylor reassigns Medicare benefits to Bluegold Health LLC (Cumming, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raven Traylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raven Traylor accept?

Health plans from Alliant Health Plans, Inc. list Raven Traylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raven Traylor was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.