Individual provider Active NPI

Briana Reynolds, LCSW

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1093375537
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007434 Issued in GA
Practice address
13107 Jefferson Square CT
Decatur, GA 30030-1747
Phone
(404) 490-1391
Fax
(770) 995-1959
NPI assigned
Jun 17, 2019
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 CSW007434 GA Primary

Addresses

Primary practice location

13107 Jefferson Square CT
Decatur, GA 30030-1747

Mailing address

520 W Ponce de Leon Ave, #1112
Decatur, GA 30031
Phone (404) 490-1391

Other practice location 1

165 Dekalb Industrial Way Ste D-1
Decatur, GA 30030-2230
Phone (678) 701-8775

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

State licenses

LicenseStateTypeSpecialty
CSW007434GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Family Counseling, LLC Clinical CurrentSince Dec 1, 2020 Accepting new patients
Courageous Counseling and Consultation Clinical CurrentSince Sep 20, 2022 Accepting new patients

Locations

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

520 W Ponce de Leon Ave
Unit 1112
Decatur, GA 30031

610 Kentucky St
Scottdale, GA 30079
Phone (404) 287-2638

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1093375537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W PONCE DE LEON AVE, #1112",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30031",
            "telephone_number": "404-490-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 JEFFERSON SQUARE CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301747",
            "telephone_number": "404-490-1391",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Dekalb Industrial Way Ste D-1",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302230",
            "country_code": "US",
            "telephone_number": "678-701-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRIANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.