Kedric Sledge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

113 Chestnut St
Jonesboro, GA 30236-4930

Phone

(678) 241-9841

NPI assigned

Aug 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inspire International CDC

  • Case Management Agency
  • Jonesboro, GA
  • NPI 1023677655
  NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1558038000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHESTNUT ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364930",
            "telephone_number": "678-241-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHESTNUT ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364930",
            "telephone_number": "678-241-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "KEDRIC",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "Q3-0010435",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaechauna Renee Sinclair, MS
• Suapsan Singhapakdi, MD
• Lavoris Singleton
• Shannon C Skiba, DDS
• Skkppr Enterprises Inc
• Smile Wit Confident, LLC
• Wakisha Evelyn Smith Harvey, LPC
• Smith Transitional and Rehabilitation Services, Inc.
• Chanel Smith-Hopson
• Arzinya Smith

• Clinical Social Worker in Jonesboro, GA
• Providers in Jonesboro, 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 Aug 24, 2021; 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.