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

Shanequa Kimble, LCSW

Individual provider Social Worker · NPI 1497516173

Shanequa Kimble, LCSW is a Social Worker in Carrollton, Georgia. Practices as a sole proprietor. Licensed in Connecticut and Rhode Island.

Licensed in
CT, RI
In the registry since
2024
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

301 Lucy Ln
Carrollton, GA 30117-8506
Phone: (678) 557-1968
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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 CSW03549 (RI)
Social Worker Taxonomy 104100000X · Licence 9291 (CT)

Record details

NPI number1497516173
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address301 Lucy Ln, Carrollton, GA 30117-8506

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