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SAMUEL KITCHENS LICSW
NPI 1104651843
Social Worker - Clinical in Allston, MA

Active since September 03, 2024PECOS Enrolled
1330 COMMONWEALTH AVE APT 30, ALLSTON, MA 02134(704) 930-9816 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104651843
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL KITCHENSCredential: LICSW
Location Address1330 COMMONWEALTH AVE APT 30Allston, MA 02134-3932
Mailing Address1330 Commonwealth Ave Apt 30Allston, MA 02134-3932 · (704) 930-9816
Phone(704) 930-9816
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 3, 2024
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1104651843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · LICSW1143608
Definition
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.
1330 COMMONWEALTH AVE APT 30, Allston, MA 02134
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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).

PECOS PAC ID2466926431
PECOS Enrollment IDI20260630003891
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.