P Praxis·MD
● Active Type 1 · Individual

Tyneisha Donisha Douglas, CLINICAL SOCIAL WORK

Social Worker·Conyers, GA· NPI 1841683737 · Enumerated 2015 · 11 years on NPI
Douglas is 1 of 55 social worker providers in Conyers and 1 of 5654 in Georgia.
NPI age
11 years
Enumerated 2015-03-17
Primary specialty
Social Worker
Plus 2 subspecialties
Licensed in
GA, DC, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
11 years
↑ 2 yr above median (9 yr)
State licenses
3 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-03Enumerated in NPPES
2015 2026

Where they practice

Practice location
2274 Salem Road Se, Suite 106
Conyers, GA 30013
📞 4046317716
Mailing address
2274 Salem Rd Se Ste 106-1409
Conyers, GA 300132097
📞 4703314654fax 4047450807

Specialties

  • Social Worker Primary
    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...
    GA license #CSW007607DC license #LC200002835FL license #TPSW1094 taxonomy 1041C0700X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Conyers in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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