Individual provider Active NPI

Siphiwe Nhliziyo, LCSW

  • Clinical Social Worker
  • Dallas, GA
National Provider Identifier
1861722407
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003002 Issued in GA
Practice address
110 Evans Mill Dr Ste 305
Dallas, GA 30157-1623
Phone
(678) 348-8390
Fax
(678) 550-6360
NPI assigned
Jan 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 CSW003002 GA Primary

Addresses

Primary practice location

110 Evans Mill Dr Ste 305
Dallas, GA 30157-1623

Mailing address

4068 High Country Dr
Douglasville, GA 30135-4267
Phone (770) 316-0798

Other names 1

  • Siphiwe Snipes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW003002GAMDClinical Social Worker
11032MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Life Services Corporation Past Accepting new patients
Rci Clinical Psychiatric Services, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1861722407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 HIGH COUNTRY DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354267",
            "telephone_number": "770-316-0798",
            "fax_number": "678-550-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR STE 305",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571623",
            "telephone_number": "678-348-8390",
            "fax_number": "678-550-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NHLIZIYO",
        "first_name": "SIPHIWE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIPHIWE",
            "last_name": "SNIPES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.