Individual provider Active NPI

Christina Marie Kight, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1003422353
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008441 Issued in GA
Practice address
1507 Church Street Ext NE
Marietta, GA 30060-1023
Phone
(770) 590-9075
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008441 GA Primary

Addresses

Primary practice location

1507 Church Street Ext NE
Marietta, GA 30060-1023

Mailing address

151 Stonebrook Dr
Rockmart, GA 30153-8219
Phone (770) 634-7233

Other practice location 1

151 Stonebrook Dr
Rockmart, GA 30153-8219
Phone (770) 634-7233

Other names 1

  • Ms. Christina Marie Bell Former name

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

LicenseStateTypeSpecialty
CSW008441GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Extension Inc CurrentSince Mar 3, 2024 Accepting new patients

Locations

1507 Church Street Ext NE
Marietta, GA 30060
Phone (770) 590-9075

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1003422353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 STONEBROOK DR",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301538219",
            "telephone_number": "770-634-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 CHURCH STREET EXT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601023",
            "telephone_number": "770-590-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Stonebrook Dr",
            "address_purpose": "LOCATION",
            "city": "Rockmart",
            "state": "GA",
            "postal_code": "301538219",
            "country_code": "US",
            "telephone_number": "770-634-7233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIGHT",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BELL",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.