Kristy Kitchens, CSW, LISW is a
Social Worker - Clinical based in Fort Gordon, Georgia. Kristy Kitchens is licensed to practice in Georgia (license number CSW003572) and her current practice location is
300 W Hospital Rd, Fort Gordon, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 787-8290.
NPI number for Kristy Kitchens is 1942247275 and her current mailing address is 300 W Hospital Rd, Fort Gordon, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942247275.
Healthcare Provider's Profile
| Full Name | Kristy Kitchens |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 300 W Hospital Rd, Fort Gordon, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942247275
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 04/25/2023
Medical Identifiers
Medical identifiers for Kristy Kitchens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942247275 | NPI | - | NPPES |
| AD01AK | Medicaid | SC | |
| 570569761 | Other | SC | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (South Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8913 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW003572 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristy Kitchens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristy Kitchens, CSW, LISW
300 W Hospital Rd,
Fort Gordon, GA 30905-5741
Ph: (706) 787-8290 | Kristy Kitchens, CSW, LISW
300 W Hospital Rd,
Fort Gordon, GA 30905-5741
Ph: (706) 787-8290 |
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