Individual provider Active NPI

Tomekia Holandia Raines, LMSW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1003408725
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
270 W Oak St Ste 2
Lawrenceville, GA 30046-4813
Phone
(770) 866-1060
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

270 W Oak St Ste 2
Lawrenceville, GA 30046-4813

Mailing address

165 Dekalb Industrial Way Ste D-1
Decatur, GA 30030-2230
Phone (770) 866-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Family Counseling, LLC Clinical CurrentSince Feb 7, 2021 Accepting new patients
Boss Lady Swag LLC Current Accepting new patients
Adult and Child Counseling of Athens LLC Past Accepting new patients
Hixson Counseling Services LLC PastSince Feb 7, 2021 Accepting new patients

Locations

165 DeKalb Industrial Way
Ste D1
Decatur, GA 30030
Phone (404) 465-4919

270 W Oak St
Ste 2
Lawrenceville, GA 30046
Phone (404) 482-2221

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1003408725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 DEKALB INDUSTRIAL WAY STE D-1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302230",
            "telephone_number": "770-866-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W OAK ST STE 2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464813",
            "telephone_number": "770-866-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "TOMEKIA",
        "middle_name": "HOLANDIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.