Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristi Spence Sullivan, LCSW

Individual provider Clinical Social Worker · NPI 1598020398

Kristi Spence Sullivan, LCSW is a Clinical Social Worker in Marietta, Georgia. Qualified in 2000, 26 years ago. Practices with Mindful Transitions, LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2940 Johnson Ferry Rd Ste B-127
Marietta, GA 30062-8361
Phone: (678) 637-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW003884 (GA)

Record details

NPI number1598020398
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 8, 2012
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mindful Transitions, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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