Kelli Bull Tzorin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66825 Issued in TX

Practice address

6548 Mink Dr
Midland, GA 31820-3732

Phone

(770) 802-3483

NPI assigned

Jun 17, 2022

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pastoral Institute, Inc

  dba The Counseling Center

  • Professional Counselor
  • Columbus, GA
  • NPI 1477605707

  Clinical

  Medicare reassignment NPD
• Hope Project of Central Texas PLLC

  dba The Hope Project

  • Professional Counselor
  • Round Rock, TX
  • NPI 1427714369
  Medicare reassignment NPD
• Sowa Health Team LC

  • Internal Medicine Physician
  • Fortson, GA
  • NPI 1144030909
  NPD
• St Francis Health LLC

  dba St Francis Hospital

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1376274605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 MINK DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318203732",
            "telephone_number": "770-802-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 MINK DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318203732",
            "telephone_number": "770-802-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZORIN",
        "first_name": "KELLI",
        "middle_name": "BULL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1951 NW 7th Ave Ste 300",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331361112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andre Tarver
• Lizzie Yvette Thomas
• Andreka Thrash, RN
• Donna Trawick
• Try Therapy
• George Roger Vaillant, PA-C
• Walgreen Co (Walgreens #18178)
• Lakeisha Laverne Walker
• Tina Webb
• Wheelcare Mobility, LLC

• Clinical Social Worker in Midland, GA
• Providers in Midland, 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 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.