KIMBERLY MULLINS (NPI# 1164729000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164729000 |
| Entity Type | Individual |
| Full Name | KIMBERLY MULLINS |
| Credential | LMSW |
| Practice Address |
413 W Tyler Ave West Memphis AR 72301-4149 |
| Practice Telephone | 8707331200 |
| Practice Fax Number | 8707323269 |
| Mailing Telephone | 8707331200 |
| Mailing Fax Number | 8707323269 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6923-M | AR | Behavioral Health & Social Service Providers |
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1235152851 | Kimberly K Mullins | Registered Nurse | 4350 Malsbary Road, Cincinnati, OH 45242 | 2006-07-25 |
| 1477026920 | Kimberly A Mullins | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2019-01-08 |
| 1811356975 | Kimberly Mullins | Social Worker | 1333 Burr Ridge Pkwy, Second Floor, Suite 200, Burr Ridge, IL 60527-6423 | 2016-02-17 |
| 1992173215 | Kimberly Mullins | Speech-Language Pathologist | 205 E B St, Jenks, OK 74037-3906 | 2015-09-02 |
| 1750725636 | Kimberly Renae Mullins | Registered Nurse | 121 Advanced Technology Drive, Duffield, VA 24244 | 2013-04-23 |
| 1750631875 | Kimberly Mullins | Counselor | 10 N Main St, Cortland, NY 13045-2130 | 2012-09-17 |
| 1184905549 | Kimberly Jo Mullins | Pharmacist | 2005 Centennial Blvd, Independence, KY 41051-7041 | 2011-08-30 |
| 1164656617 | Kimberly Mullins | Counselor | 1229 Lincoln Hwy, Van Wert, OH 45891-1877 | 2009-05-13 |
| Street Address |
413 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082979 | Sandra Gathright | Social Worker | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2006-07-29 |
| 1376177485 | Lynda Townsend | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2020-02-27 |
| 1710479340 | Tiffany T Sims | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-30 |
| 1205326949 | Beatrice M Woods | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1942790688 | Inman Phillips | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1487144127 | Jasmine C Winda | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-05-17 |
| 1942718564 | Brianna D Crayton | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-17 |
| 1487161881 | Kirsten Holiman | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| 1669989067 | Shalondra R Smith | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| 1104333509 | Kaybriana I Jackson | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2018-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1245750819 | William Edward Rubin | Social Worker | 204 E Broadway St, West Memphis, AR 72301-3172 | 2017-06-23 |
| 1063709921 | Florence M Gibbs | Social Worker | 703 Calvin Avery Dr Ste A, West Memphis, AR 72301-6538 | 2011-06-29 |
| 1225232275 | Joyce Janett Jones | Social Worker | 396 Three Forks Rd Apt 1, West Memphis, AR 72301-4243 | 2007-06-13 |
| 1629082979 | Sandra Gathright | Social Worker | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2006-07-29 |
| 1720013014 | Amy T Cates | Social Worker | 905 North 7th Street, West Memphis, AR 72301 | 2006-07-12 |
| 1790251320 | Allison Prescott Rogers | Social Worker | 905 N 7th St, West Memphis, AR 72301-2001 | 2018-10-22 |
| 1558777896 | Courtney Porter | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2014-07-08 |
| 1962764746 | Mary Johnson | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2012-06-08 |
| 1215298443 | Kimberly Davis | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2012-06-05 |
| 1679834279 | Alisha Rogers | Social Worker | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2012-05-31 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on KIMBERLY MULLINS.
| 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.