Tia L Warren, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004791 Issued in GA

Practice address

4566 Lawrenceville Hwy NW Ste 101
Lilburn, GA 30047-3686

Phone

(770) 217-7563

NPI assigned

Dec 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tia L Thomas Former name

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment Care Compare group NPD
• Positive Growth Inc.

  • Community/Behavioral Health Agency
  • Clarkston, GA
  • NPI 1437343555
  Medicare reassignment NPD
• Transformations Therapy of Atlanta, LLC

  • Professional Counselor
  • Lilburn, GA
  • NPI 1215447081
  NPD
• Transformations Therapy of Atlanta, LLC

  • Mental Health Counselor
  • Lilburn, GA
  • NPI 1639693047
  NPD
• Jydes Family Clinic LLC

  • Child & Adolescent Psychiatry Physician
  • Norcross, GA
  • NPI 1275840944
  NPD (past)

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

{
    "created_epoch": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1194061770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 LAWRENCEVILLE HWY NW STE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473686",
            "telephone_number": "770-217-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 LAWRENCEVILLE HWY NW STE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473686",
            "telephone_number": "770-217-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "TIA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "THOMAS",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roshelle Wanderlee Walters Rodney
• Minsheng Wang, M.D
• Elizabeth Ward, ATC
• Warm Hearts Home Care Services LLC
• Felicity M. Warren, M.D.
• Kobena Y Waters, MD
• Christina M Watts, D.A.
• Karla Jenae Waugh
• Ashari N Webb, RBT
• Brandon Montez Webb, LCSW

• Clinical Social Worker in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.