KIMBERLY ELLIS (NPI# 1265084461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265084461 |
| Entity Type | Individual |
| Full Name | KIMBERLY ELLIS |
| Practice Address |
111 South St Somerville MA 02143-4297 |
| Mailing Address |
25 Gaston St Medford MA 02155-1219 |
| Practice Telephone | 7818014889 |
| Mailing Telephone | 7817526645 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746908 | Kimberly Ellis | Behavior Technician | 850 13th St, Newport News, VA 23607-6420 | 2017-12-18 |
| 1023531340 | Kimberly Y Ellis | Day Training/Habilitation Specialist | 7365 Granville Dr, Mansfield, TX 76063-4647 | 2017-07-18 |
| 1104066299 | Kimberly R Ellis | Counselor | 307 Carpenter Dam Rd Ste B, Hot Springs, AR 71901-8282 | 2009-03-02 |
| 1619004413 | Kimberly Anne Ellis | Registered Nurse | 155 Cloverdale Rd, Rochester, NY 14616-3254 | 2007-02-27 |
| 1174603054 | Kimberly S Ellis | Physical Therapist | 10613 Ne 174th Pl, Bothell, WA 98011-3777 | 2006-10-16 |
| 1891703476 | Kimberly Ellis | Family Medicine | 8423 S Us Highway 1, Port Saint Lucie, FL 34952-3358 | 2006-08-03 |
| 1306353818 | Kimberly Tonine Ellis | Counselor | 101 Carpenter Pl, Monroe, NY 10950-3592 | 2018-01-05 |
| 1609328954 | Kimberly Ellis | Case Manager/Care Coordinator | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2016-11-02 |
| 1073998399 | Kimberly Ellis | Dentist | 5915 W State Road 46, Bloomington, IN 47404-9359 | 2015-07-28 |
| 1700220936 | Kimberly Kone Ellis | Family Medicine | 3939 Medical Dr, Ste 100, San Antonio, TX 78229-2291 | 2013-04-18 |
| Street Address |
111 SOUTH ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695162 | Evan M Hecht | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-12-02 |
| 1538705470 | Chelsea Willis | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-11-26 |
| 1174174544 | Kongjing Xing | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-09-26 |
| 1790334977 | Annie Rose Barringer II | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2019-09-10 |
| 1083266282 | Elizabeth Grace White | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2019-07-09 |
| 1235797465 | Emily Tingle | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-06-03 |
| 1326605403 | Tino Tomasi | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-05-23 |
| 1831672161 | Joanna Sullivan | Counselor | 111 South St, Somerville, MA 02143-4297 | 2018-09-12 |
| 1689157349 | Anissa Latifi | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2018-09-10 |
| 1306329065 | Gabriela Bishop | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| 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 |
|---|---|---|---|---|
| 1912506395 | Kelsey Elizabeth Oakes | Social Worker | 47 Pearson Ave Apt 2, Somerville, MA 02144-2305 | 2020-10-18 |
| 1326652330 | Kathryn Cote Ray | Social Worker | 125 Highland Rd Apt 1, Somerville, MA 02144-2235 | 2020-09-07 |
| 1700496544 | Lea Steinman | Social Worker | Jewish Family Service of Somerset, 150a West High Street, Somerville, NJ 08876-0887 | 2020-08-06 |
| 1619501251 | Danielle Ayla Metzger | Social Worker | 257 Elm St Ste 201, Somerville, MA 02144-2934 | 2020-02-22 |
| 1275098840 | Ruth Leslie Goldsmith | Social Worker | 134 W End Ave Fl 2, Somerville, NJ 08876 | 2019-02-07 |
| 1669944039 | Jane Carpineto | Social Worker | 67 Church St, Somerville, MA 02143-1737 | 2018-12-26 |
| 1487135414 | Patricia Contente | Social Worker | 220 Somerville Ave, Somerville, MA 02143-3415 | 2018-08-28 |
| 1548741341 | Jeanette Silberstein Maclean | Social Worker | 36 Powder House Blvd, Somerville, MA 02144-1306 | 2018-08-28 |
| 1669953881 | Karen Rosemary Monaghan | Social Worker | 40 Montrose St, Somerville, MA 02143-1213 | 2018-08-25 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on KIMBERLY ELLIS.
| 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.