SAMUEL KITCHENS LICSW
NPI 1104651843
Social Worker - Clinical in Allston, MA
About Samuel Kitchens Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL KITCHENS LICSW (NPI 1104651843) is an individual clinical provider in Allston, Massachusetts, licensed in Massachusetts (LICSW1143608) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Kitchens Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Kitchens's NPI number?
The NPI number for Samuel Kitchens is 1104651843. It was assigned to this individual provider in the NPPES registry on September 3, 2024.
Where is Samuel Kitchens located?
Samuel Kitchens practices at 1330 Commonwealth Ave Apt 30, Allston, MA 02134. The listed phone number is (704) 930-9816.
What is Samuel Kitchens's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Samuel Kitchens enrolled in Medicare?
Yes. Samuel Kitchens is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samuel Kitchens was last updated on June 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
