Active NPI
Tyra Woods I, LCSW
- Clinical Social Worker
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW009899
- Practice address
- 175 Gwinnett Dr
Lawrenceville, GA 30046-8444 - Phone
- (678) 209-2411
- NPI assigned
- Jan 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW009773 | GA | |
| Clinical Social Worker | 1041C0700X | CSW009899 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | GA |
Addresses
Primary practice location
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Mailing address
212 Ravenwood CT
Bethlehem, GA 30620-2729
Phone (470) 883-1213
Other practice location 1
240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone (706) 583-7307
Other practice location 2
906 Interstate Ridge Dr Ste C
Gainesville, GA 30501-7074
Phone (678) 696-2307
Other practice location 3
119 Sycamore Dr
Athens, GA 30606-3462
Phone (706) 850-2121
Other practice location 4
915 Interstate Ridge Dr
Gainesville, GA 30501-7076
Phone (678) 207-2900
Other practice location 5
11725 Pointe Pl
Roswell, GA 30076-4636
Phone (470) 990-9483
Other practice location 6
120 E Trinity Pl
Decatur, GA 30030-3302
Phone (404) 378-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (770) 339-5071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009773 | GA | MD | Social Worker |
| CSW009899 | GA | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawrenceville, GA
- NPI 1609853860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1225678873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 RAVENWOOD CT",
"city": "BETHLEHEM",
"state": "GA",
"postal_code": "306202729",
"telephone_number": "470-883-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 GWINNETT DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468444",
"telephone_number": "678-209-2411"
}
],
"practiceLocations": [
{
"address_1": "240 Mitchell Bridge Rd",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062043",
"country_code": "US",
"telephone_number": "706-583-7307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "906 Interstate Ridge Dr Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305017074",
"country_code": "US",
"telephone_number": "678-696-2307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Sycamore Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306063462",
"country_code": "US",
"telephone_number": "706-850-2121",
"fax_number": "706-850-2120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 Interstate Ridge Dr",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305017076",
"country_code": "US",
"telephone_number": "678-207-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11725 Pointe Pl",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300764636",
"country_code": "US",
"telephone_number": "470-990-9483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 E Trinity Pl",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300303302",
"country_code": "US",
"telephone_number": "404-378-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODS",
"first_name": "TYRA",
"name_suffix": "I",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-12",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW009773",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW009899",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": null,
"primary": false
}
],
"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 Jul 20, 2026; 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.