Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396544946 Individual Practitioner Female Practitioner

Tylisaea Bonner , LMSW

Social Worker • Rydal, GA

Professional Overview & Biography Verified Profile Summary

Tylisaea Bonner, LMSW is a registered healthcare professional specializing in Social Worker in Rydal, GA. Practice services are available at 156 TALON DE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

156 Talon De Se

Rydal, GA 30171

Telephone 4048517204

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Rydal, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Rydal, GA (2201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License GA MSW011690

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2025

Registered at 156 TALON DE SE, RYDAL, GA 30171 (Tel: 4048517204)

📍
Updated Business Mailing Address March 07, 2025

Registered at 156 TALON DE SE, RYDAL, GA 30171 (Tel: 4048517204)

👤
Provider Name / Credentials Updated March 07, 2025

Recorded as TYLISAEA BONNER, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2025

Social Worker (License #MSW011690 in GA)

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Initial NPI Registration & Enumeration March 07, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396544946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2025
Last Update: March 07, 2025
Sole Proprietor: Yes

Mailing Address

156 Talon De Se

Rydal, GA 30171

Phone: 4048517204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.