Ms Rachel Calysta Kitchens-cole, LCSW is a
Social Worker - Clinical based in Lawrenceville, Georgia. Ms Rachel Calysta Kitchens-cole is licensed to practice in Georgia (license number CSW005759) and her current practice location is
590 Woodrow Dr # A, Lawrenceville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 593-7647.
NPI number for Ms Rachel Calysta Kitchens-cole is 1114628369 and her current mailing address is 590 Woodrow Dr # A, Lawrenceville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114628369.
Healthcare Provider's Profile
| Full Name | Ms Rachel Calysta Kitchens-cole |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 590 Woodrow Dr # A, Lawrenceville, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114628369
- Provider Enumeration Date: 03/14/2023
- Last Update Date: 03/14/2023
Medical Identifiers
Medical identifiers for Ms Rachel Calysta Kitchens-cole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114628369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | CSW005759 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW005759 (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. Ms Rachel Calysta Kitchens-cole 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 |
|---|
Ms Rachel Calysta Kitchens-cole, LCSW
590 Woodrow Dr # A,
Lawrenceville, GA 30043-2326
Ph: (404) 593-7647 | Ms Rachel Calysta Kitchens-cole, LCSW
590 Woodrow Dr # A,
Lawrenceville, GA 30043-2326
Ph: (404) 593-7647 |
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