Dionne Reid-Hayles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005560 Issued in GA

Practice address

1585 Old Norcross Rd Ste 201F
Lawrenceville, GA 30046-4043

Phone

(678) 392-0727

Fax

(470) 300-7773

NPI assigned

Aug 18, 2015

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Your Journey to Finding Peace

  • Clinical Social Worker
  • Lawrenceville, GA
  • NPI 1598141673
  NPD Authorized official

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1407222177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 WOODLAND BANK BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188866",
            "telephone_number": "678-392-0727",
            "fax_number": "470-300-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 OLD NORCROSS RD STE 201F",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464043",
            "telephone_number": "678-392-0727",
            "fax_number": "470-300-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922860",
            "country_code": "US",
            "telephone_number": "678-392-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID-HAYLES",
        "first_name": "DIONNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003173374A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kellie Eden Reich, LPC
• Tiashyana Reid, LPN
• Larisa G Reifman, MD
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• Stephania Remy

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, 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 Sep 27, 2020; 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.