Individual provider Active NPI

Keshia Kirtz, LMSW

  • Social Worker
  • Fayetteville, GA
National Provider Identifier
1740635374
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW012847 Issued in GA
Practice address
729 S Jeff Davis Dr
Fayetteville, GA 30215-2416
Phone
(943) 237-2892
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW012847 GA Primary

Addresses

Primary practice location

729 S Jeff Davis Dr
Fayetteville, GA 30215-2416

Mailing address

805 Glynn St S Ste 127
PMB #196
Fayetteville, GA 30214-2077
Phone (943) 237-2892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW012847GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Irie Community Living LLC Current Accepting new patients

Locations

805 Glynn St S
Ste 127
Fayetteville, GA 30214
Phone (404) 406-6307

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1740635374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GLYNN ST S STE 127",
            "address_2": "PMB #196",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142077",
            "telephone_number": "943-237-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152416",
            "telephone_number": "943-237-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTZ",
        "first_name": "KESHIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW012847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; 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.