KIMBERLY JEAN ENDRES


Address: 1101 E 78th Street, Suite 100, Bloomington, MN 55420
Phone: 9528545034

KIMBERLY JEAN ENDRES (NPI# 1689696130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689696130
Entity Type Individual
Full Name KIMBERLY JEAN ENDRES
Other Name KIMBERLY JEAN HINES NORMAN
Credential MSW, LICSW
Practice Address 1101 E 78th Street
Suite 100
Bloomington
MN 55420
Mailing Address 1900 Silver Lake Road Nw
Suite 110
New Brighton
MN 55112
Practice Telephone 9528545034
Mailing Telephone 6513791718
Mailing Fax Number 6513791738
Enumeration Date 2006-07-24
Last Update Date 2015-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
16550 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 587434300 05

Other Providers KIMBERLY ENDRES

NPI Name Taxonomy Address Enumeration
1790065829 Kimberly Renee Endres Counselor 2797 Post Rd, Warwick, RI 02886-3001 2011-08-21

Office Location

Street Address 1101 E 78TH STREET
SUITE 100
City BLOOMINGTON
State MN
Zip Code 55420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902352289 Linda Odriscoll Marriage & Family Therapist 1101 E 78th Street, Suite 100, Bloomington, MN 55431 2016-08-28
1881071074 Christa Overson Marriage & Family Therapist 1101 E 78th Street, Suite 100, Bloomington, MN 55431 2015-04-27

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770101875 Leah Elizabeth Sinn Iversen Social Worker 518 N Colony Ct, Bloomington, IN 47408-3012 2020-07-06
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1144845389 Debra Diann Terfruchte Social Worker 2001 Withers Ln, Bloomington, IL 61704-9069 2020-06-13
1144857301 Megan Stahly Social Worker 827 W 14th Ct, Bloomington, IN 47404-3347 2020-03-26
1659906634 The Healing Tree Psychotherapy and Consulting Services, LLC Social Worker 2103 E Washington St Ste 2g, Bloomington, IL 61701-4365 2020-03-10
1972147429 Nina Maria Castronova Social Worker 1886 E Cheyanne Ln, Bloomington, IN 47401-4143 2019-10-28
1942852488 Kaitlin King, LLC. Social Worker 408 E. Dodds, Bloomington, IN 47401-4819 2019-07-15
1215400791 Elizabeth Therese Heid Social Worker 2302 E Oakland Ave Ste 7, Bloomington, IL 61701-5875 2019-01-07
1689143232 James Baugh Social Worker 1408 S Walnut St Ste A, Bloomington, IN 47401-5888 2018-11-13
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Competitor

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City BLOOMINGTON
Zip Code 55420

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Dataset Information

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.

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