Wanda Marcella Rainey-Reed, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005131 Issued in GA

Practice address

1453 Klondike Rd SW Ste D
Conyers, GA 30094

Phone

(770) 679-4336

Fax

(888) 700-6924

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/caringworksinc/r4/

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.

• Wellsync Road to Recovery Services LLC

  • Clinical Social Worker
  • Conyers, GA
  • NPI 1194173500
  Authorized official Same address or phone
• Serenity Community Services

  • Community/Behavioral Health Agency
  • NPI 1477889749
  NPD
• Caringworks, Inc

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1720385354
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1225445208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 KLONDIKE RD SW STE D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945128",
            "telephone_number": "770-679-4336",
            "fax_number": "888-700-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 KLONDIKE RD SW STE D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-679-4336",
            "fax_number": "888-700-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY-REED",
        "first_name": "WANDA",
        "middle_name": "MARCELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Wayne Baker OD PC
• David S Rabin, M.D.
• Radandel Community Counseling Services
• Wedad Rahman, MD
• Saniyath Raimi Chitou, DO
• Dorothy Rainey, MS APRN BC
• Kelly Y Rainey
• Tani Kerri-Ann Rainford, DMD
• Cana Elaine Rainwater
• Ramapo Dialysis, LLC (Covington Mill Dialysis)

• Clinical Social Worker in Conyers, GA
• Providers in Conyers, 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 May 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.