Active NPI
Kaleidoscope Living
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1114744315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KALEIDOSCOPE LIVING
- Practice address
- 8735 Dunwoody PL Ste 5640
Atlanta, GA 30350-2995 - Phone
- (678) 251-8736
- NPI assigned
- Sep 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole L Jordan, LCSW
- Title
- Owner
- Phone
- (678) 251-9736
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
8735 Dunwoody PL Ste 5640
Atlanta, GA 30350-2995
Mailing address
8735 Dunwoody PL Ste 5640
Atlanta, GA 30350-2995
Phone (678) 251-8736
National Provider Directory
National Provider DirectoryLocations
8735 Dunwoody Pl
Ste 5640
Sandy Springs, GA 30350
Phone (678) 251-8736
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1114744315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL STE 5640",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "678-251-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL STE 5640",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "678-251-8736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALEIDOSCOPE LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-251-9736",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.