Kulisha Y. Beasley
Individual provider Active NPI Social Worker · Commerce, GA
NPI 1104741107 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1104741107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- CSW010396 (GA)
- Practice address
- 119 Banks Rd
Commerce, GA 30529-6303 - Phone
- (706) 386-2063
- NPI assigned
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | CSW010396 | GA | Yes |
Addresses
Primary practice location
119 Banks Rd
Commerce, GA 30529-6303
Mailing address
119 Banks Rd
Commerce, GA 30529-6303
Phone (706) 386-2063
Other providers in Commerce, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.