Individual provider Active NPI

Taijah Bell, LCSW

  • Clinical Social Worker
  • Douglasville, GA
National Provider Identifier
1306699954
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009034 Issued in GA
Practice address
6802 Creekgate Way
Douglasville, GA 30134-2109
Phone
(347) 221-3575
NPI assigned
Apr 11, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5860C AL
Clinical Social Worker 1041C0700X 34011732A IN
Clinical Social Worker 1041C0700X CSW009034 GA Primary
Clinical Social Worker 1041C0700X TPSW4278 FL
Clinical Social Worker 1041C0700X 828 SC

Addresses

Primary practice location

6802 Creekgate Way
Douglasville, GA 30134-2109

Mailing address

6802 Creekgate Way
Douglasville, GA 30134-2109

Other names 1

  • Taijah Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240509000527 GA Practitioner - Clinical Social Worker 6901247873 Reassigns benefits to 2 organizations
I20250617003066 IN Practitioner - Clinical Social Worker 6901247873 Reassigns benefits to 1 organization
I20250905004449 TX Practitioner - Clinical Social Worker 6901247873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

1700 Northside Dr NW
Suite A7
Atlanta, GA 30318-2695
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5860CALMDClinical Social Worker
TPSW4278FLMDClinical Social Worker
CSW009034GAMDClinical Social Worker
828SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical of Michigan PC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 10, 2024 Accepting new patients
Moms Mental Matters CurrentSince Apr 14, 2024 Accepting new patients
Taijah Bell Therapy Group Clinical CurrentSince Apr 6, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1306699954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 CREEKGATE WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 CREEKGATE WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342109",
            "telephone_number": "347-221-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "TAIJAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5860C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011732A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009034",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW4278",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAIJAH",
            "last_name": "NELSON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.