Individual provider Active NPI

Krystle Stricklin, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1801344221
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007162 Issued in GA
Practice address
7573 Absinth Dr
Atlanta, GA 30349-8132
Phone
(678) 787-8750
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 0904017181 VA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW007162 GA Primary
Social Worker 104100000X

Addresses

Primary practice location

7573 Absinth Dr
Atlanta, GA 30349-8132

Mailing address

2636 MLK Jr Dr SW Ste 12&22
Atlanta, GA 30311-1634

Other practice location 1

710 Mobjack Pl
Newport News, VA 23606-1957
Phone (757) 260-5507

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200721000913 GA Practitioner - Clinical Social Worker 6507280856 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7573 Absinth Dr
Atlanta, GA 30349-8132
Phone (678) 787-8750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904017181VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Counseling and Assessment Center, LLC Clinical CurrentSince Nov 4, 2020 Accepting new patients
Stricklin Counseling Solutions Mental Health CurrentSince May 27, 2020 Accepting new patients
Delta Speech Therapy LLC Social Worker PastSince Aug 25, 2024 Accepting new patients

Locations

420 Thomaston St
Zebulon, GA 30295
Phone (404) 960-1282

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1801344221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 MLK JR DR SW STE 12&22",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7573 ABSINTH DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498132",
            "telephone_number": "678-787-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Mobjack Pl",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236061957",
            "country_code": "US",
            "telephone_number": "757-260-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLIN",
        "first_name": "KRYSTLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017181",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007162",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.