TYNEISHA DONISHA DOUGLAS CLINICAL SOCIAL WORK
NPI 1841683737
Social Worker - Clinical in Conyers, GA

Active since March 17, 2015
2274 SALEM ROAD SE, SUITE 106, CONYERS, GA 30013(404) 631-7716 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Jul 15, 2021 (2 updates tracked since 2021).

About Tyneisha Donisha Douglas Clinical Social Work NPPES

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

TYNEISHA DONISHA DOUGLAS CLINICAL SOCIAL WORK (NPI 1841683737) is an individual clinical provider in Conyers, Georgia, licensed in Georgia (CSW007607) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1841683737
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYNEISHA DONISHA DOUGLASCredential: CLINICAL SOCIAL WORK
Location Address2274 SALEM ROAD SE, SUITE 106Conyers, GA 30013
Mailing Address2274 Salem Rd Se Ste 106-1409Conyers, GA 30013-2097 · (470) 331-4654 · Fax (404) 745-0807
Sole ProprietorNo
Enumeration DateMarch 17, 2015
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
NPI 1841683737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in GA · CSW007607 Licensed in DC · LC200002835 Licensed in FL · TPSW1094
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.
2274 SALEM ROAD SE, Conyers, GA 30013

Other Names 1

Former Name (1)Tyneisha Donisha King Clinical Social Work

Accepted Insurance

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 Tyneisha Douglas's NPI number?

The NPI number for Tyneisha Douglas is 1841683737. It was assigned to this individual provider in the NPPES registry on March 17, 2015. The provider is also known as Tyneisha Donisha King Clinical Social Work.

Where is Tyneisha Douglas located?

Tyneisha Douglas practices at 2274 Salem Road SE Suite 106, Conyers, GA 30013. The listed phone number is (404) 631-7716.

What is Tyneisha Douglas's specialty?

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

What insurance does Tyneisha Douglas accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Tyneisha Douglas 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 Tyneisha Douglas was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.