Beth Kise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004687 Issued in GA

Practice address

5356 Thornapple LN NW
Acworth, GA 30101-7895

Phone

(678) 231-0629

NPI assigned

Apr 17, 2007

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1225254725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 THORNAPPLE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017895",
            "telephone_number": "678-231-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 THORNAPPLE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017895",
            "telephone_number": "678-231-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 Halisport Ln NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301526912",
            "country_code": "US",
            "telephone_number": "678-571-3364",
            "fax_number": "801-443-0897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISE",
        "first_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhawna Khanna, MD
• Bryan Kim, DO
• Eunice Kim
• Richard William Kimmerling, MD
• Cathy Lee King
• Brian Patrick Kittrell, CST, CSFA
• Kara Klayman, MS CCC/SLP
• Rhonda L Knight
• Susan Rosemary Korey, PHARMD
• Tumu T Korlie

• Clinical Social Worker in Acworth, GA
• Providers in Acworth, 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 Jun 14, 2019; 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.