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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
92580 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LCSW | 92580 | 01 |
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 |
Street Address |
1255 LIBERTY ST |
City | REDDING |
State | CA |
Zip Code | 96001-0814 |
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 |
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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 |
Find all providers in zip 96001 |
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 |
---|---|---|---|---|
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 |
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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.