Individual provider Active NPI

Kelly Rhyne Campodonico, LCSW, MDIV

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1275256836
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW010421 Issued in GA
Practice address
1954 Airport Rd Ste 232
Atlanta, GA 30341-4956
Phone
(404) 563-5381
Fax
(404) 500-0483
NPI assigned
Sep 20, 2022
Last updated
Jun 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW010421 GA Primary
Health Educator 174H00000X CSW010421 GA
Health & Wellness Coach 171400000X CSW010421 GA

Addresses

Primary practice location

1954 Airport Rd Ste 232
Atlanta, GA 30341-4956

Mailing address

1954 Airport Rd Ste 232
Atlanta, GA 30341-4956
Phone (404) 563-5381

Other names 1

  • Kelly Rhyne Professional 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
MSW011279GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Give Into Love Therapeutics, LLC Clinical PastSince Nov 1, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1275256836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 AIRPORT RD STE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414956",
            "telephone_number": "404-563-5381",
            "fax_number": "404-500-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 AIRPORT RD STE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414956",
            "telephone_number": "404-563-5381",
            "fax_number": "404-500-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPODONICO",
        "first_name": "KELLY",
        "middle_name": "RHYNE",
        "credential": "LCSW, MDIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW010421",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "GA",
            "license": "CSW010421",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "GA",
            "license": "CSW010421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RHYNE",
            "credential": "LCSW, MDIV",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 27, 2026; 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.