MRS. KIMBERLY ANTOINE SCOTT (NPI# 1093884108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093884108 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANTOINE SCOTT |
| Credential | LCSW |
| Practice Address |
112 S. Brooks St. Wake Forest NC 27587-5008 |
| Mailing Address |
Po Box 985 Wake Forest NC 27588-0985 |
| Practice Telephone | 9193247361 |
| Practice Fax Number | 9196401901 |
| Mailing Telephone | 9196737816 |
| Mailing Fax Number | 9196401901 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C004666 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6002801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257899 | Kimberly T Scott | Counselor | 1870 Dixon Swimming Pool Rd, Burlington, NC 27217-8587 | 2020-05-19 |
| 1336779941 | Kimberly Nichole Scott | Nurse Practitioner | 201 Southview Dr, Hudson Oaks, TX 76087-8232 | 2020-01-22 |
| 1508403239 | Kimberly Scott | Social Worker | 8550 Ulmerton Rd Ste 145, Largo, FL 33771-5357 | 2019-12-02 |
| 1174035992 | Kimberly Scott | Registered Nurse | 19500 Sw 117th Ct, Miami, FL 33177-4413 | 2017-11-02 |
| 1669904447 | Kimberly Scott | Physical Therapy Assistant | 2921 Excelsior Springs Ct, Ellicott City, MD 21042-7614 | 2017-03-30 |
| 1740645779 | Kimberly Scott | Registered Nurse | 5207 Avenue T, Brooklyn, NY 11234-4604 | 2015-12-17 |
| 1376880153 | Kimberly Baldwin Scott | Counselor | Hc 68 Box 569, Ringold, OK 74754-9717 | 2013-01-14 |
| 1003169251 | Kimberly Evette Scott | Health Educator | 210 Schuyler St, Apartment 12, Jamestown, NY 14701-7536 | 2012-10-24 |
| 1720259633 | Kimberly Scott | Psychologist | 2272 North Pleasants Highway, St. Marys, WV 26170-0021 | 2008-03-19 |
| 1649295692 | Kimberly Rae Scott | Speech-Language Pathologist | 859 Mdw/mcsra, 2200 Berquist Dr, Ste 1, Lackland Afb, TX 78236-5300 | 2006-07-12 |
| Street Address |
112 S. BROOKS ST. |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411931 | Nicole Tai | Social Worker | 3664 Genesis Ln, Wake Forest, NC 27587-6088 | 2020-03-09 |
| 1275164196 | Annie's House, LLC | Social Worker | 1784 Heritage Center Dr Ste 204-h, Wake Forest, NC 27587-3989 | 2020-01-29 |
| 1780172890 | Susan White | Social Worker | 504 Walters Dr, Wake Forest, NC 27587-6177 | 2018-04-24 |
| 1013456813 | Carolina Ramirez | Social Worker | 3745 Willow Stone Ln, Wake Forest, NC 27587-3433 | 2017-02-14 |
| 1346788791 | Gary S Skinner | Social Worker | 10580 Ligon Mill Rd # 210, Wake Forest, NC 27587-6090 | 2017-02-06 |
| 1629525746 | Stefanie Vitale-ronde | Social Worker | 1900 S Main St Ste 112, Wake Forest, NC 27587-5027 | 2016-09-07 |
| 1912351008 | Ella Zlotina | Social Worker | 3920 Song Sparrow Dr, Wake Forest, NC 27587-1633 | 2016-04-15 |
| 1598147704 | Phillip White | Social Worker | 1213 Opeushaw Ct, Wake Forest, NC 27587-7938 | 2015-06-24 |
| 1790166593 | Kimberly Scott, Pllc | Social Worker | 112 Brooks St, Wake Forest, NC 27587-2757 | 2015-06-17 |
| 1073923801 | Hilary Leath Norris | Social Worker | 1613 Forest Rd, Wake Forest, NC 27587-7730 | 2014-05-01 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on MRS. KIMBERLY ANTOINE SCOTT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.