Organization Active NPI

Steven R.Kilgore, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1346611423
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001094 Issued in GA
Legal business name
STEVEN R.KILGORE, LCSW
Practice address
617 Parkside Village Way NW
Marietta, GA 30060-7957
Phone
(770) 514-1657
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Kathy A. Kilgore
Title
Office Manager
Phone
(404) 402-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW001094 GA Primary

Addresses

Primary practice location

617 Parkside Village Way NW
Marietta, GA 30060-7957

Mailing address

617 Parkside Village Way NW
Marietta, GA 30060-7957
Phone (770) 514-1657

National Provider Directory

National Provider Directory

Locations

321 Lawrence St NE
Marietta, GA 30060
Phone (404) 308-5867

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1346611423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 PARKSIDE VILLAGE WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607957",
            "telephone_number": "770-514-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 PARKSIDE VILLAGE WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607957",
            "telephone_number": "770-514-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R.KILGORE, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-402-3100"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.