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

Mr. Allen Kerrie Gholston, LCSW

Individual provider Clinical Social Worker · NPI 1548380991

Mr. Allen Kerrie Gholston, LCSW is a Clinical Social Worker in Olive Branch, Mississippi. Qualified in 2001, 25 years ago. Practices with Right Track Medical Group, Inc, a 28-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Tennessee.

Years since qualifying
25
Licensed in
MS, TN
In the registry since
2007
Specialties on file
2
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

9035 E Sandidge Rd Ste 201
Olive Branch, MS 38654-3563
Phone: (662) 234-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1030 Jefferson Ave, Memphis, TN 38104-2127 — (901) 523-8990
  • 427 Linden Ave, Memphis, TN 38126-2023 — (901) 577-9400

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C-10110 (MS)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0000005776 (TN)

Record details

NPI number1548380991
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 30, 2007
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Right Track Medical Group, Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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