MRS. KASHANA TANESHIA GAINES (LCSW) – Clinical Social Worker, NPI 1306292701

MRS. KASHANA TANESHIA GAINES (LCSW) is a healthcare provider. based in Statesboro, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW005733 (GA). The NPI Number for MRS. KASHANA TANESHIA GAINES (LCSW) is 1306292701

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KASHANA TANESHIA GAINES (LCSW)
NPI
1306292701
Phone
(912) 362-5267
Address
6407 SWALLOWTAIL DRIVE
Enumeration Date
4 May 2016
Last Update Date
1 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075282285
Graduation Year
2005 (21 years ago)
PAC ID
5597057356
Group Practice PAC ID
4880659903
Professional Enrollment ID
I20230327001562
Address ID
ME044621400MI50XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for MRS. KASHANA TANESHIA GAINES (LCSW)

  • 6407 SWALLOWTAIL DRIVE

    STATESBORO, GA 304585385

    Phone: (912) 362-5267

    Type: Location

  • 30 HOULTON ST

    PATTEN, ME 047653035

    Phone: (207) 538-3700

    Type: Location

  • 6407 Swallowtail Drive

    Statesboro, GA 304585385

    Phone: (912) 362-5267

    Type: Location

  • 6407 SWALLOWTAIL DR

    STATESBORO, GA 304610724

    Phone: (912) 362-5267

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230327001562IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880659903View full group profile
NameSpecialtyState
Physician AssistantME
-ME
Clinical Social WorkerME
Physician AssistantME
Qualified Speech Language PathologistMA
Nurse PractitionerWA
O P T O M E T R YME
C H I R O P R A C T I CME
Physician AssistantVA
Nurse PractitionerME

Reviews

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Frequently asked questions

What number should I use to identify MRS. KASHANA TANESHIA GAINES (LCSW) for billing?
Administrative and clinical systems typically use NPI 1306292701 for MRS. KASHANA TANESHIA GAINES (LCSW).
Should I treat MRS. KASHANA TANESHIA GAINES (LCSW) as an active provider?
Patients and plans typically see MRS. KASHANA TANESHIA GAINES (LCSW) as active in the national extract.
What type of care does MRS. KASHANA TANESHIA GAINES (LCSW) provide?
MRS. KASHANA TANESHIA GAINES (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KASHANA TANESHIA GAINES (LCSW)?
MRS. KASHANA TANESHIA GAINES (LCSW) is associated with Statesboro, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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