Tamara L Daniels

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006997 Issued in GA

Practice address

1000 Iris Dr SW Ste D1000
Conyers, GA 30094-6632

Phone

(470) 205-0367

NPI assigned

Oct 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1376896001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MAIN ST UNIT 363",
            "city": "PORTERDALE",
            "state": "GA",
            "postal_code": "300703315",
            "telephone_number": "470-205-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 IRIS DR SW STE D1000",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946632",
            "telephone_number": "470-205-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "TAMARA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa L. Dameron, RRT
• Cornelius Homer Daniel, DMD
• Laurie Daniel
• Trevor Daniel
• Etoyus Daniels, APRN
• Tricia Daniels
• Antronette Darrell, LPN
• Darryl S Gross MD PC
• Raven Davidson
• Robert C Davies, M.D.

• 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 Jul 2, 2024; 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.