Active NPI
Yetiva Renea Prather, LCSW
- Clinical Social Worker
- Thomasville, GA
National Provider Identifier
1881348126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120418
- Practice address
- 3264 Lower Boston Rd
Thomasville, GA 31757-1311 - Phone
- (229) 379-7140
- NPI assigned
- Feb 7, 2022
- Last updated
- Sep 12, 2026
- 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 | 120418 | TX | Primary |
Addresses
Primary practice location
3264 Lower Boston Rd
Thomasville, GA 31757-1311
Mailing address
3264 Lower Boston Rd
Thomasville, GA 31757-1311
Phone (229) 379-7140
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120418 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1881348126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 LOWER BOSTON RD",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317571311",
"telephone_number": "229-379-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 LOWER BOSTON RD",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317571311",
"telephone_number": "229-379-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHER",
"first_name": "YETIVA",
"middle_name": "RENEA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "120418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
- Jeremy W Poole, D.O.
- Michelle Manning Popiel, OT
- Jenna Poppell, NP
- Amanda Lynd Potter, FNP
- Cynthia Diane Prather, NURSE PRACTITIONER
- Precious Hands Healthcare Services, LLC. (Precious Hands Healthcare)
- Precious Private in Homecare, LLC (Precious Private In Homecare)
- David K. Price, O.D.
- Samuel K Pride
- Primary Care of Southwest Georgia, Inc (Primary Care of Southwest Georgia-TCMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.