Raven Littlejohn-Kerstens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007373 Issued in GA

Practice address

300 Peachtree St NE Ste CS2
Atlanta, GA 30308-3565

Phone

(865) 630-9062

NPI assigned

Mar 21, 2017

Last updated

Mar 29, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1407387665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 DICKEY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062671",
            "telephone_number": "865-630-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PEACHTREE ST NE STE CS2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083565",
            "telephone_number": "865-630-9062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3643 Walton Way Ext",
            "address_2": "Building 4",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309094507",
            "country_code": "US",
            "telephone_number": "706-364-1404",
            "fax_number": "706-364-1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEJOHN-KERSTENS",
        "first_name": "RAVEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "MSW007401",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Brett Little
• Richard R Little, M.D.
• Stephen B Little, MD
• Wendalyn Little, MD
• Yvonne Little, M.D.
• Travis Wayne Littleton, M.D.
• Oliver Liu-Lam, MD
• Stephanie Liu-Lam, MD
• Alanna Liu, PHARMD
• Apple Liu, DO

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.