Tylisaea Bonner, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW010655 Issued in GA

Practice address

156 Talon de SE
Rydal, GA 30171

Phone

(404) 851-7204

NPI assigned

Mar 7, 2025

Last updated

Aug 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Seedhouse Collective LLC

  • Clinical Social Worker
  • Rydal, GA
  • NPI 1386550812
  NPD (past) Authorized official

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1396544946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 TALON DR SE",
            "city": "RYDAL",
            "state": "GA",
            "postal_code": "301711787",
            "telephone_number": "404-851-7204",
            "fax_number": "404-601-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 TALON DE SE",
            "city": "RYDAL",
            "state": "GA",
            "postal_code": "30171",
            "telephone_number": "404-851-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "TYLISAEA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW010655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Faye Abel, LPCC
• Leslie Bryant
• Comfort Counseling LLC
• Amy Kathryn Hartline, AGACNP-BC
• Ashia James, PHD
• Isabelle Marie Lowrey

• Clinical Social Worker in Rydal, GA
• Providers in Rydal, 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 Aug 26, 2026; 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.