Rachel Calysta Kitchens-Cole, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005759 Issued in GA

Practice address

590 Woodrow Dr # a
Lawrenceville, GA 30043-2326

Phone

(404) 593-7647

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1114628369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 WOODROW DR # A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432326",
            "telephone_number": "404-593-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 WOODROW DR # A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432326",
            "telephone_number": "404-593-7647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 N Point Pkwy Ste 249",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "30022",
            "country_code": "US",
            "telephone_number": "404-446-0939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHENS-COLE",
        "first_name": "RACHEL",
        "middle_name": "CALYSTA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW005759",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony A Kiss, PT
• Amanarh Albert Kisseih, MD
• Melanie Elizabeth Kissell
• Daria Kissina
• Nikeeta C Kitchen
• Sarah Kiwanuka, APRN
• KL Medical Clinic, LLC.
• Rebeca C Klatt, NP-C
• Laurie Lynn Klebosky, PHARMD
• Jason Klevansky, DMD

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.