Active NPI
Dania Debbie Ann Collis, LCSW
- Clinical Social Worker
- Macon, GA
National Provider Identifier
1457085441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008134
- Practice address
- 610 3Rd St Ste 202
Macon, GA 31201-3262 - Phone
- (478) 216-7378
- NPI assigned
- Jul 14, 2022
- Last updated
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | 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 2
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.
-
- Clinical Social Worker
- Gray, GA
- NPI 1831967884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.