Individual provider Active NPI

Christina Sue Kirkland, LMSW

  • Clinical Social Worker
  • Jasper, AL
National Provider Identifier
1770188401
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
Jasper Cboc
1454 Jones Dairy Rd
Jasper, AL 35501
Phone
(205) 221-7384
NPI assigned
Dec 1, 2020
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

Jasper Cboc
1454 Jones Dairy Rd
Jasper, AL 35501

Mailing address

101 Judy Smith Dr
Guntersville, AL 35976-4501
Phone (205) 451-7367

Other practice location 1

Guntersville Cboc
101 Judy Smith Dr
Guntersville, AL 35976
Phone (256) 582-4033

Other names 1

  • Christina Sue Perry Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Admistration PastSince Dec 6, 2020 Accepting new patients

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1770188401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JUDY SMITH DR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359764501",
            "telephone_number": "205-451-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JASPER CBOC",
            "address_2": "1454 JONES DAIRY RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-221-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "GUNTERSVILLE CBOC",
            "address_2": "101 JUDY SMITH DR",
            "address_purpose": "LOCATION",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "country_code": "US",
            "telephone_number": "256-582-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "CHRISTINA",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "PERRY",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.