Individual provider Active NPI

Kristina Joseph, LCSW

  • Clinical Social Worker
  • Dallas, GA
National Provider Identifier
1932794948
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006406 Issued in GA
Practice address
251 Garland Rose LN
Dallas, GA 30157-5017
Phone
(770) 853-5651
NPI assigned
Mar 2, 2021
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 CSW006406 GA Primary

Addresses

Primary practice location

251 Garland Rose LN
Dallas, GA 30157-5017

Mailing address

55 E Paulding Dr Ste 122
Dallas, GA 30157-7192
Phone (770) 322-4894

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
I20260305001386 GA Practitioner - Clinical Social Worker 2567944820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4806 Winding LN
Powder Springs, GA 30127-3869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW006406GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aloft Healing Studios, LLC Clinical CurrentSince Feb 19, 2026 Accepting new patients

Locations

1690 Stone Village Ln NW
Ste 701
Kennesaw, GA 30152
Phone (470) 485-7360

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1932794948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E PAULDING DR STE 122",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301577192",
            "telephone_number": "770-322-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 GARLAND ROSE LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301575017",
            "telephone_number": "770-853-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.