KIMBERLY KAY ELLIOTT


Address: 1255 Liberty St, Redding, CA 96001-0814
Phone: 5302462467

KIMBERLY KAY ELLIOTT (NPI# 1760025886) 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) 1760025886
Entity Type Individual
Full Name KIMBERLY KAY ELLIOTT
Practice Address 1255 Liberty St
Redding
CA 96001-0814
Mailing Address 1565 Fresia Way
Redding
CA 96003-3041
Practice Telephone 5302462467
Mailing Telephone 5303568427
Enumeration Date 2019-10-21
Last Update Date 2019-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
92580 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA LCSW 92580 01

Other Providers KIMBERLY ELLIOTT

NPI Name Taxonomy Address Enumeration
1265976849 Kimberly Elliott Dietitian, Registered 7787 Richmond Hwy, Appomattox, VA 24522-8680 2016-12-15
1023393147 Kimberly Elliott Social Worker 1213 Vinewood Ave, Schenectady, NY 12306-2918 2011-10-20
1033734900 Kimberly Elliott Nurse Practitioner 1662 Dominican Way, Santa Cruz, CA 95065-1522 2020-06-16
1770098311 Kimberly A Elliott Counselor 713 Cheatham St, Springfield, TN 37172-2828 2017-12-05
1477002921 Kimberly Elliott Behavioral Analyst 3009 C St, Sacramento, CA 95816-3326 2016-09-26
1891191490 Kimberly Elliott Registered Nurse 1170 Fairgrove Church Rd, Hickory, NC 28602-9695 2014-11-08
1366723587 Kimberly Laraine Elliott Pharmacist 6103 Fort Caroline Rd, Jacksonville, FL 32277-2035 2011-09-01
1427383520 Kimberly L Elliott Occupational Therapist 4112 46th Ave, Rock Island, IL 61201-7166 2009-10-07
1588862098 Kimberly Ann Elliott Family Medicine 1450 Northwest Ln Se Ste A, Pmg Sw Wa Panorama, Lacey, WA 98503-6908 2007-07-05
1396795654 Kimberly A. Elliott Otolaryngology 3701 Dauphin St, Mobile, AL 36608-1756 2006-05-10

Office Location

Street Address 1255 LIBERTY ST
City REDDING
State CA
Zip Code 96001-0814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427057132 Eric J Jenkinson Pediatrics 1255 Liberty St, Redding, CA 96001-0814 2005-07-15
1447803374 Seth Kneebone Physical Therapist 1255 Liberty St, Redding, CA 96001-0814 2019-07-19
1689172405 Stacie Lyn Lonquist Specialist/Technologist 1255 Liberty St, Redding, CA 96001-0814 2018-01-26
1689106882 Garret Strand Podiatrist 1255 Liberty St, Redding, CA 96001-0814 2017-03-28
1851836506 Tyler Michael Martin Physical Therapist 1255 Liberty St, Redding, CA 96001-0814 2017-01-04
1225438658 William A Ranker Pharmacist 1255 Liberty St, Suite C, Redding, CA 96001-0814 2014-09-04
1427479740 Jennifer Olds Registered Nurse 1255 Liberty St, Redding, CA 96001-0814 2014-01-05
1114362019 Forrest R Monroe Anesthesiology 1255 Liberty St, Redding, CA 96001 2013-05-06
1447536933 Marisa Taylor Mackenzie Physician Assistant 1255 Liberty St, Redding, CA 96001-0814 2011-10-27
1609154517 Trisha J Fagan Physician Assistant 1255 Liberty St, Redding, CA 96001-0814 2011-07-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730651266 Vanessa Louise Banda Social Worker 1544 Magnolia Avenue, Redding, CA 96001 2018-12-21
1184194672 Marie Sherrick Licensed Vocational Nurse 2030 Elreno Lane, Redding, CA 96001 2018-11-28
1699257857 Prorehab Physical Therapy and Sports Performance, Inc Physical Therapist 3673 Eureka Way, Redding, CA 96001 2018-09-05
1316456833 Jennifer Rose Goehring Counselor 1310 Continental Street, Redding, CA 96001 2017-09-27
1891224440 Audrey Cutler Social Worker 1313 Yuba St., Redding, CA 96001 2017-06-07
1184167991 Calafia Holdings LLC Skilled Nursing Facility 1836 Gold Street, Redding, CA 96001 2016-11-28
1194272369 Shasta County Clinic/Center 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 2016-09-06
1417329236 Shari Hayden Specialist/Technologist, Other 2111 Air Park Dr, Redding, CA 96001 2015-10-21
1679951982 Shasta Hearing Aids Health Maintenance Organization 900 Butte St, Redding, CA 96001 2015-05-07
1073919171 Native American Mental Health Services Corporation Psychiatry & Neurology 1742 Oregon Street, Redding, CA 96001 2014-11-17
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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
1730651266 Vanessa Louise Banda Social Worker 1544 Magnolia Avenue, Redding, CA 96001 2018-12-21
1154849479 Leslie Rubury Social Worker 90 Peaceable St, Redding, CT 06896-3107 2017-09-07
1891224440 Audrey Cutler Social Worker 1313 Yuba St., Redding, CA 96001 2017-06-07
1811344450 Roger Milton Slagle Social Worker 999 Mission De Oro Dr Ste 103, Redding, CA 96003 2016-05-23
1821455577 Joshua Roberts Social Worker 478 Bedrock Ln, Redding, CA 96003-3345 2016-01-26
1750758884 Justina Marion Hale Social Worker 2338 Dartmouth Dr, Redding, CA 96001-5818 2015-08-24
1548665862 Michelle Kamla Social Worker 2400 Washington Ave Ste 401, Redding, CA 96001-2827 2014-10-29
1932512738 Anne Shields Social Worker 2 Rob Rider Rd, Redding, CT 06896-1303 2014-06-09
1619247590 Wright Education Services Social Worker 2660 Victor Ave, Redding, CA 96002 2012-01-09
1912297664 George Bronson Scripture IIi Social Worker 448 Redcliff Dr Ste 120, Redding, CA 96002-0159 2011-04-14
Find all providers in REDDING

Competitor

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City REDDING
Zip Code 96001

Improve Information

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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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