Nakita Dziegielewski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008368 Issued in GA

Practice address

11980 Haywood Valley Rd
Summerville, GA 30747-6831

Phone

(360) 527-5539

NPI assigned

Nov 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1700250644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 HAYWOOD VALLEY RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307476831",
            "telephone_number": "360-527-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 HAYWOOD VALLEY RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307476831",
            "telephone_number": "360-527-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEGIELEWSKI",
        "first_name": "NAKITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61042915",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008368",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kyle Daniel, DMD
• P. Carl Davidson, M.D.
• Dawn Davis, LPC
• Anna Dotson
• Natalie B Dunagan, FNP-C
• James Thomas Espy, DPT
• Evernorth Direct Health LLC
• Deborah S Farris, LPC
• Abigail Faul
• Deborah E. Faulkner, RN

• Clinical Social Worker in Summerville, GA
• Providers in Summerville, 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 Jun 3, 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.