Individual provider Active NPI

Dania Debbie Ann Collis, LCSW

  • Clinical Social Worker
  • Macon, GA
National Provider Identifier
1457085441
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008134 Issued in GA
Practice address
610 3Rd St Ste 202
Macon, GA 31201-3262
Phone
(478) 216-7378
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008134 GA Primary

Addresses

Primary practice location

610 3Rd St Ste 202
Macon, GA 31201-3262

Mailing address

610 3Rd St Ste 202
Macon, GA 31201-3262
Phone (478) 216-7378

Other names 1

  • Ms. Dania Debbie-Ann Ebanks Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com/ Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104000842 GA Practitioner - Clinical Social Worker 6406207463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008134GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 4, 2025 Accepting new patients

Locations

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1457085441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013262",
            "telephone_number": "478-216-7378",
            "fax_number": "855-753-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013262",
            "telephone_number": "478-216-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIS",
        "first_name": "DANIA",
        "middle_name": "DEBBIE ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "simple practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "610 3rd St Ste 202",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312013262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIA",
            "last_name": "EBANKS",
            "middle_name": "DEBBIE-ANN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.