Tanequa S Dorsey, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW006924 Issued in GA

Practice address

40 Macon Street
Suite D
McDonough, GA 30253

Phone

(678) 831-7377

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• House of Concrete Roses, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Atlanta, GA
  • NPI 1528574431
  NPD Authorized official
• Embracing Hope LLC

  • Adult Mental Health Clinic/Center
  • McDonough, GA
  • NPI 1225690894
  NPD

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1164033783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 TINSLEY WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315465",
            "telephone_number": "404-697-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MACON STREET",
            "address_2": "SUITE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "678-831-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "TANEQUA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW006924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Harvest Home Care Services, LLC
• DNM Health Services
• Thu Anh Doan, DMD
• McKenzie Washington Dodson, M. ED., CCC-SLP
• Domi Healthcare Services, LLC
• Andrew Doughan, MD
• April Douglas, RRT
• Miriam W Douglas, PHARM D
• Dr Paul White LLC
• Dr Tinai James PHD LLC

• Mental Health Counselor in McDonough, GA
• Providers in McDonough, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.