Individual provider · Type 1 NPI
Tylisaea Bonner, DSW, LCSW
Clinical Social Worker · Rydal, GA
Practice location
156 Talon De SE
Rydal, GA 30171
Mailing address
156 Talon Dr SE
Rydal, GA 30171-1787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW010655 (GA) |
Clinical Social Worker: 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 interpers…
About NPI 1396544946
Tylisaea Bonner, DSW, LCSW's National Provider Identifier is 1396544946, issued on Mar 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rydal, GA. The record was last updated on Aug 26, 2026.