Dejerica Tinsley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006163 Issued in GA

Practice address

540 Powder Springs St Ste 17
Marietta, GA 30064-3549

Phone

(404) 590-5524

Fax

(229) 252-7584

NPI assigned

Jan 26, 2016

Last updated

Jan 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dejerica Heath Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Becoming Me, LLC

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1134759384
  NPD Authorized official
• 321 Mental Health/Substance Abuse Crisis Response Center, PLLC

  • Community/Behavioral Health Agency
  • Matthews, NC
  • NPI 1861874794

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1942667688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE 17",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643549",
            "telephone_number": "404-590-5524",
            "fax_number": "229-252-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE 17",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643549",
            "telephone_number": "404-590-5524",
            "fax_number": "229-252-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9810 Medlock Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300972056",
            "country_code": "US",
            "telephone_number": "678-667-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3232 Summerfield Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281058507",
            "country_code": "US",
            "telephone_number": "704-918-8513",
            "fax_number": "704-291-9354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2302 Parklake Dr NE Ste 415",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303452896",
            "country_code": "US",
            "telephone_number": "404-480-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "DEJERICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEJERICA",
            "last_name": "HEATH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Margaret Hughes Tinsley, LCSW
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• Ashley Andrea Tisdale
• Kyra Jessica Nicole Tito
• Abriyana Tivis, RBT

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, 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 Jan 14, 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.

Verify at the official NPI Registry.