Misty Blue Kirkland Nash, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008238 Issued in GA

Practice address

408 Shirley Ave
Douglas, GA 31533-2002

Phone

(912) 292-1177

NPI assigned

Feb 10, 2021

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

Other names 1

• Misty Blue Kirkland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Compassionate Behavioral Health

  • Clinical Social Worker
  • Douglas, GA
  • NPI 1629506787
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1609468735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BAYMEADOWS DR W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315356702",
            "telephone_number": "912-381-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332002",
            "telephone_number": "912-292-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "MISTY",
        "middle_name": "BLUE KIRKLAND",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW005752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "KIRKLAND",
            "middle_name": "BLUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Wayne Murphy, AUDIOPROSTHOLOGIST
• Kevin Adam Murphy, O.D.
• Bobby Jean Musgrove, NP-C, NP-BC
• Candace Rose Musgrove, NP
• Hemachandran P Nair, M.D.
• National Vision, Inc.
• Romulo P Navarro, MD
• Nephrology Group Consultants
• Nephrology Group, LLC
• Hillary Reid Newland Jr., M.D.

• Clinical Social Worker in Douglas, GA
• Providers in Douglas, 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 Apr 20, 2023; 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.