WANDA MARCELLA RAINEY-REED (NPI# 1225445208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225445208 |
| Entity Type | Individual |
| Full Name | WANDA MARCELLA RAINEY-REED |
| Credential | LCSW |
| Practice Address |
1453 Klondike Rd Sw Ste D Conyers GA 30094 |
| Mailing Address |
1453 Klondike Rd Sw Ste D Conyers GA 30094-5128 |
| Practice Telephone | 7706794336 |
| Practice Fax Number | 8887006924 |
| Mailing Telephone | 7706794336 |
| Mailing Fax Number | 8887006924 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1810 | GA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005131 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1453 KLONDIKE RD SW STE D |
| City | CONYERS |
| State | GA |
| Zip Code | 30094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194173500 | Wellsync Road To Recovery Services LLC | Social Worker | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| 1134383565 | Eastern Health Center PC | General Practice | 1455 Old Mcdonough Hwy #c, Conyers, GA 30094 | 2008-07-15 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167955 | Taiti Harden Pitts | Social Worker | 3501 Mccallister Ln, Conyers, GA 30013-7500 | 2020-09-02 |
| 1104301670 | Rena M Glass-dixon | Social Worker | 990 Iris Dr Sw Ste 103, Conyers, GA 30094-6602 | 2018-09-30 |
| 1932628518 | Restoring Wellness Counseling | Social Worker | 1226 Royal Dr Sw Ste E, Conyers, GA 30094-5926 | 2017-09-14 |
| 1669836920 | Latonya Carter | Social Worker | 1226 Royal Dr Sw Ste O, Conyers, GA 30094-5926 | 2016-04-12 |
| 1679948798 | Tomeka L Howell | Social Worker | 327 Loch Haven Dr Se, Conyers, GA 30013-6346 | 2015-12-01 |
| 1902283542 | Rose Marie Williams | Social Worker | 1623 Cherry Hill Ct Sw, Conyers, GA 30094-6273 | 2015-05-04 |
| 1801212022 | Latoya Grandy-walker | Social Worker | 1805 Over Lake Dr Se Ste D, Conyers, GA 30013 | 2014-03-12 |
| 1811271737 | Adrienne Johnson | Social Worker | 2047 Gees Mill Rd Ne Ste 228, Conyers, GA 30013-1361 | 2011-10-11 |
| 1871897454 | Corletha Norman-bey | Social Worker | 2375 Wall St Se Ste Office34, Conyers, GA 30013-6702 | 2010-12-22 |
| 1396999306 | Edwina Lenora Whittingham | Social Worker | 1808 Over Lake Dr Se Ste D, Conyers, GA 30013-6608 | 2008-11-05 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.