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: July 19, 2026.

  • Individual
  • Female
  • Social Worker
  • PECOS Enrolled

About CHARLENE KIDD

This page provides the complete NPI Profile along with additional information for Charlene Kidd, a provider established in Atlanta, Georgia with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1124618251 assigned on January 2021. The practitioner's primary taxonomy code is 104100000X with license number MSW009473 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago. Charlene Kidd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1124618251 Verify this NPI
Provider Name
CHARLENE BYSSAINTHE KIDD LCSW
Gender
Female
Entity Type
Individual
Location Address
2905 E POINT ST UNIT 90106 ATLANTA, GA 30364
Location Phone
(404) 913-4455
Mailing Address
2900 CHAMBLEE TUCKER RD BLDG 8 ATLANTA, GA 30341
Is Sole Proprietor?
Yes
Enumeration Date
01-22-2021
Last Update Date
09-29-2023
Code Navigator

A social worker like Charlene Kidd helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Secondary Locations

  • 2900 Chamblee Tucker Rd Bldg 8
    Atlanta, GA 30341
    (678) 259-9298
  • 3511 Orchard St
    Clarkston, GA 30021
    (239) 222-8949

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
MSW009473
License State
GA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Medicare Participation & PECOS Enrollment Status

Charlene Kidd is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124618251, enumerated as an "individual" on January 22, 2021.

The provider is located at 2905 E POINT ST UNIT 90106 ATLANTA, GA 30364 and the phone number is (404) 913-4455.

Social Worker with taxonomy code 104100000X.