KIMBERLY KING (NPI# 1386025807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386025807 |
| Entity Type | Individual |
| Full Name | KIMBERLY KING |
| Credential | LISW |
| Practice Address |
3620 Stutz Dr Canfield OH 44406-9176 |
| Mailing Address |
17600 Detroit Ave Apt 1101 Lakewood OH 44107-3441 |
| Practice Telephone | 3302863173 |
| Mailing Telephone | 2404470055 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1500337 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 Euclid Ave, Cleveland, OH 44115 | 2163614400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604434 | Kimberly King | Health Maintenance Organization | 5848 Bellingrath Way, Lithonia, GA 30058-3212 | 2016-04-16 |
| 1285932632 | Kimberly Anne King | Physical Therapist | 1213 Osbourne Ave, Abington, PA 19001-2901 | 2011-03-09 |
| 1487958336 | Kimberly Denise King | Counselor | 16108 E 2nd St, Tulsa, OK 74108-1729 | 2011-01-07 |
| 1992840607 | Kimberly A King | Dentist | 1220 N Velasco St, Angleton, TX 77515-3010 | 2007-02-20 |
| 1457426397 | Kimberly King | Dentist | 53 Wright Brothers Ave Ste C, Livermore, CA 94551-9465 | 2006-11-22 |
| 1720057011 | Kimberly Rae King | Audiologist | 640 6th Ave S, North Myrtle Beach, SC 29582-3310 | 2006-03-17 |
| 1437120326 | Kimberly B. King | Physical Therapy Assistant | 1000 Western Blvd, Tarboro, NC 27886-4017 | 2006-01-30 |
| 1033189824 | Kimberly Suzanne King | Nurse Practitioner | 350 Langdon St, Somerset, KY 42503-2786 | 2006-01-24 |
| 1033730486 | Kimberly King | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-04-27 |
| 1740776566 | Kimberly Marie King | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2018-07-04 |
| Street Address |
3620 STUTZ DR |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-9176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625795 | Cheri Fetty | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2020-09-28 |
| 1427664267 | Taylor Nicole Pipoly | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2020-09-17 |
| 1043824295 | Tamara Lynne Pierson | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2020-09-04 |
| 1568009413 | Constance L Oliphant | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-12-10 |
| 1538704507 | Garrett Agler | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-11-13 |
| 1093359804 | Cassandra Wylie | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-11-05 |
| 1407400294 | Tawana J Warren | Case Manager/Care Coordinator | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-07-30 |
| 1801453311 | Be Eng Ter | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-05-21 |
| 1073178604 | Teonna Michelle Richardson | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-05-09 |
| 1306315031 | Tiana Moore | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| 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 |
|---|---|---|---|---|
| 1528567898 | Dorothea Jean Stanley | Social Worker | 3620 Stutz Dr Ste D, Canfield, OH 44406-9176 | 2018-02-01 |
| 1104289156 | Td Counseling, LLC | Social Worker | 132 S Broad St, Suite 204a, Canfield, OH 44406-1442 | 2016-03-29 |
| 1679784771 | Kristeen Marie Courtney | Social Worker | 238 S Broad St, Canfield, OH 44406-1601 | 2007-05-24 |
| 1821438730 | Jaymi Lynn Wendt | Social Worker | 4030 Boardman Canfield Rd, Canfield, OH 44406-9505 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063469 | Matthew James Smith | Social Worker | 24799 Purcell Rd, South Bloomingville, OH 43152-9740 | 2020-11-06 |
| 1093315756 | Lisa Newburger | Social Worker | 5096 Stansbury Dr Apt Suite, Solon, OH 44139-1269 | 2020-10-30 |
| 1275133068 | Sonya Latrice Fuller | Social Worker | 38616 Fairway Glenn Blvd, Willoughby, OH 44094-7188 | 2020-10-29 |
| 1285234450 | Jamie Lynne Turner | Social Worker | 214 Cornell Ave, Elyria, OH 44035-6038 | 2020-10-28 |
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1841898871 | Monique T Robinson | Social Worker | 2900 Green Rd, Shaker Heights, OH 44122-3052 | 2020-10-12 |
| 1013514363 | Joan Arnson | Social Worker | 23604 Ranch Rd, Beachwood, OH 44122-1530 | 2020-10-08 |
| 1609473404 | Solena Marie Gibson | Social Worker | 27070 Cedar Rd, Beachwood, OH 44122-8131 | 2020-10-05 |
| 1326645326 | Seeking Calm Institute, LLC | Social Worker | 3273 Reed Point Dr, Hilliard, OH 43026-1556 | 2020-10-03 |
| 1003413063 | Catherine Alexander | Social Worker | 276 Mainsail Dr, Westerville, OH 43081-2741 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| 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.