Nicole Elisabeth Kohl, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007332 Issued in GA

Practice address

70 Sunbury CT
Richmond Hill, GA 31324-9621

Phone

(912) 463-1542

NPI assigned

Oct 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

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 and National Provider Directory roles.

• A Beautiful Mind Counseling

  • Clinical Social Worker
  • Rincon, GA
  • NPI 1104411453
  NPD Authorized official

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1700484102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SUNBURY CT",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249621",
            "telephone_number": "912-463-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SUNBURY CT",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249621",
            "telephone_number": "912-463-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "NICOLE",
        "middle_name": "ELISABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn E Kinard
• Lisa Hutcherson Kind, D.C
• Laura Beth King, LPC, NCC
• Gina Kirby, LMSW
• Ashley S Knowling
• Evan Kohoutek, RN
• Kristen Butler, LLC
• Jenna Lajoie
• Russell William Lake, MD
• Baylee Radney Lamberth, FNP

• Clinical Social Worker in Richmond Hill, GA
• Providers in Richmond Hill, 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 Oct 16, 2020; 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.