KIMBERLY YON-DAVIS, LCSW, PLLC (NPI# 1508232539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508232539 |
| Entity Type | Organization |
| Organization Name | KIMBERLY YON-DAVIS, LCSW, PLLC |
| Practice Address |
3997 Commons Dr W Suite C Destin FL 32541 |
| Mailing Address |
1512 John Sims Pkwy E # 353 Niceville FL 32578-2143 |
| Practice Telephone | 8509748045 |
| Practice Fax Number | 8506781720 |
| Mailing Telephone | 8509748045 |
| Mailing Fax Number | 8506781720 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | KIMBERLY YON-DAVIS (DIRECT OWNER) |
| Authorized Official Telephone | 8509748045 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW11761 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3997 COMMONS DR W SUITE C |
| City | DESTIN |
| State | FL |
| Zip Code | 32541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740235027 | Scott Haufe | Anesthesiology | 3997 Commons Dr W, Ste M, Destin, FL 32541-8443 | 2006-05-24 |
| 1518329598 | Christine Rushford, Lmhc, LLC | Community/Behavioral Health | 3997 Commons Dr W, Suite C, Destin, FL 32541-8443 | 2016-03-28 |
| 1083004410 | Christine Rushford | Counselor | 3997 Commons Dr W, Suite C, Destin, FL 32541-8443 | 2015-01-22 |
| 1992129290 | Kimberly S Yon-davis | Social Worker | 3997 Commons Dr W, Suite C, Destin, FL 32541-8443 | 2014-02-07 |
| 1104196369 | Julia M Nickle Lmhc, Inc | Counselor | 3997 Commons Dr W, Ste C, Destin, FL 32541-8443 | 2012-01-05 |
| 1619269180 | Anesthesia Inc | Specialist | 3997 Commons Dr W, Suite M, Destin, FL 32541-8443 | 2011-05-03 |
| 1013061779 | Jennifer Clauson Msw Pa | Social Worker | 3997 Commons Dr W, Ste C, Destin, FL 32541-8443 | 2007-01-22 |
| 1659392439 | Jennifer Clauson | Social Worker | 3997 Commons Dr W, Ste C, Destin, FL 32541-8443 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| 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 |
|---|---|---|---|---|
| 1679040471 | Emily Sparks | Social Worker | 4111 Commons Dr W Apt 1101, Destin, FL 32541-8489 | 2018-10-30 |
| 1649746579 | Affinity Therapy of The Emerald Coast Inc | Social Worker | 385 Harbor Blvd Ste 101b, Destin, FL 32541-2351 | 2018-10-18 |
| 1750673950 | Nursing Home Psychological Services of Fl LLC | Social Worker | 3795 Scenic Highway 98 Unit 6b, Destin, FL 32541-5772 | 2011-05-05 |
| 1043356421 | Maria Gabrielle Young | Social Worker | 1014 Airport Rd # 114, Destin, FL 32541-2884 | 2007-01-30 |
| 1255483129 | Angela Kathryn Mcmanus | Social Worker | 4507 Furling Ln Ste 212, Destin, FL 32541-5343 | 2007-01-18 |
| 1386643278 | Eric H Lamb | Social Worker | 101 Matthew Blvd, Destin, FL 32541-3505 | 2005-07-21 |
| 1437673969 | Eric Hedean Lamb, Lcsw, LLC | Social Worker | 101 Matthew Blvd, Destin, FL 32541-3505 | 2017-07-26 |
| 1467982439 | Brooke Budney | Social Worker | 3399 Scenic Highway 98, Destin, FL 32541-4748 | 2017-06-13 |
| 1992129290 | Kimberly S Yon-davis | Social Worker | 3997 Commons Dr W, Suite C, Destin, FL 32541-8443 | 2014-02-07 |
| 1497000731 | Asher Zaslaw Ward | Social Worker | 1008 Airport Rd Ste D, Destin, FL 32541-2822 | 2012-07-23 |
| Find all providers in DESTIN | ||||
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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.