Tawana Bryant

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005541 Issued in GA

Practice address

1712 Wynthrope PL
Riverdale, GA 30274-5154

Phone

(917) 200-2352

NPI assigned

Aug 4, 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

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

State licenses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1770969479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 WYNTHROPE PL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745154",
            "telephone_number": "917-200-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 WYNTHROPE PL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745154",
            "telephone_number": "917-200-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TAWANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Bonitto Brown, M.D.
• Vickie H Browne, APRN
• Marion Bruno-Gaston
• Sara Lind Bryan, PTA
• Phyllis Michelle Bryant, RN
• Maisha Andrell Burnett, CACII
• Amber Thomas Burns, PT, DPT
• C&C Express Urgent Care LLC
• Caedel Medical Group
• Marlena Celeste Cain, MD

• Clinical Social Worker in Riverdale, GA
• Providers in Riverdale, 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 Aug 4, 2015; 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.