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CHARLENE BYSSAINTHE KIDD LCSW
NPI 1124618251
Social Worker in Atlanta, GA

Active since January 22, 2021PECOS Enrolled
2905 E POINT ST UNIT 90106, ATLANTA, GA 30364(404) 913-4455 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Charlene Byssainthe Kidd Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLENE BYSSAINTHE KIDD LCSW (NPI 1124618251) is an individual social worker in Atlanta, Georgia, licensed in Georgia (MSW009473) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124618251
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCHARLENE BYSSAINTHE KIDDCredential: LCSW
Location Address2905 E POINT ST UNIT 90106Atlanta, GA 30364-8604
Mailing Address2900 Chamblee Tucker Rd Bldg 8Atlanta, GA 30341-4100
Phone(404) 913-4455
Sole ProprietorYes
Enumeration DateJanuary 22, 2021
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1124618251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in GA · MSW009473
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2905 E POINT ST UNIT 90106, Atlanta, GA 30364
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Secondary Practice Locations 2

Location 12900 Chamblee Tucker Rd Bldg 8Atlanta, GA 30341-4100 · Phone (678) 259-9298
Location 23511 Orchard StClarkston, GA 30021-1145 · Phone (239) 222-8949

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlene Byssainthe Kidd Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Charlene Kidd's NPI number?

The NPI number for Charlene Kidd is 1124618251. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Charlene Kidd located?

Charlene Kidd practices at 2905 E Point St Unit 90106, Atlanta, GA 30364. The listed phone number is (404) 913-4455.

What is Charlene Kidd's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Charlene Kidd enrolled in Medicare?

Yes. Charlene Kidd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Kidd was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.