Active NPI
Your Journey to Finding Peace
- Clinical Social Worker
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005560
- Legal business name
- YOUR JOURNEY TO FINDING PEACE
- Practice address
- 1585 Old Norcross Rd Ste 201F
Lawrenceville, GA 30046-4043 - Phone
- (678) 392-0727
- Fax
- (470) 300-7773
- NPI assigned
- Jul 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dionne Reid-Hayles, LCSW
- Title
- Clinical Social Worker/Therapist
- Phone
- (678) 392-0727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005560 | GA | Primary |
Addresses
Primary practice location
1585 Old Norcross Rd Ste 201F
Lawrenceville, GA 30046-4043
Mailing address
4535 Woodland Bank Blvd
Buford, GA 30518-8866
Phone (678) 392-0727
Other practice location 1
5680 Peachtree Pkwy
Norcross, GA 30092-2860
Phone (678) 392-0727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003203430A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1585 Old Norcross Rd
Ste 201F
Lawrenceville, GA 30046
Phone (678) 392-0727
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Lawrenceville, GA
- NPI 1407222177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601164800000",
"number": "1598141673",
"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": {
"organization_name": "YOUR JOURNEY TO FINDING PEACE",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-30",
"last_updated": "2020-09-27",
"certification_date": "2020-09-27",
"status": "A",
"authorized_official_last_name": "REID-HAYLES",
"authorized_official_first_name": "DIONNE",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/THERAPIST",
"authorized_official_telephone_number": "678-392-0727",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003203430A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.