Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyneisha Donisha Douglas, CLINICALSOCIALWORK

Individual provider Clinical Social Worker · NPI 1841683737

Tyneisha Donisha Douglas, CLINICALSOCIALWORK is a Clinical Social Worker in Conyers, Georgia. Licensed in District of Columbia, Florida and Georgia. Registered with an NPI since 2015.

Licensed in
DC, FL, GA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

2274 Salem Rd SE Ste 106
Conyers, GA 30013
Phone: (404) 631-7716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007607 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC200002835 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence TPSW1094 (FL)

Record details

NPI number1841683737
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLINICALSOCIALWORK
Sole proprietorNo
NPI enumeratedMarch 17, 2015
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

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