Individual provider Active NPI

Leigh Ann Kittle, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1841752326
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006749 Issued in GA
Practice address
800 E 70TH St
Savannah, GA 31405-4813
Phone
(912) 790-6500
NPI assigned
Apr 3, 2019
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 CSW006749 GA Primary

Addresses

Primary practice location

800 E 70TH St
Savannah, GA 31405-4813

Mailing address

2431 Habersham St Ste C
Savannah, GA 31401-9360
Phone (912) 713-7974

Other practice location 1

2431 Habersham St Ste C
Savannah, GA 31401-9360
Phone (912) 713-7974

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
I20190708000381 GA Practitioner - Clinical Social Worker 5597090076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Behavioral Health Services CurrentSince Mar 30, 2019 Accepting new patients
Savannah Therapeutic Services, LLC CurrentSince Jul 21, 2024 Accepting new patients
Gateway Community Service Board CurrentSince Mar 30, 2019 Accepting new patients

Locations

600 Coastal Village Dr
Brunswick, GA 31520
Phone (866) 557-9955

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

2431 Habersham St
Ste C
Savannah, GA 31401
Phone (912) 495-8549

800 E 70th St
Savannah, GA 31405
Phone (912) 692-0606

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, 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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1841752326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 HABERSHAM ST STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314019360",
            "telephone_number": "912-713-7974",
            "fax_number": "912-205-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054813",
            "telephone_number": "912-790-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 Habersham St Ste C",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314019360",
            "country_code": "US",
            "telephone_number": "912-713-7974",
            "fax_number": "912-205-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.