KIMBERLY ELLISON


Address: 2225 W Broadway, Louisville, KY 40211-1003
Phone: 5025891100

KIMBERLY ELLISON (NPI# 1760651319) 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) 1760651319
Entity Type Individual
Full Name KIMBERLY ELLISON
Practice Address 2225 W Broadway
Louisville
KY 40211-1003
Mailing Address 101 W Muhammad Ali Blvd
Louisville
KY 40202-1423
Practice Telephone 5025891100
Practice Fax Number 5025898771
Enumeration Date 2008-02-28
Last Update Date 2008-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers KIMBERLY ELLISON

NPI Name Taxonomy Address Enumeration
1295205862 Kimberly Ellison Behavior Technician 1111 Baker St., Costa Mesa, CA 92626 2018-11-27
1710340963 Kimberly Ellison Nurse Practitioner 1400 N. Ih 35; Ste 300, Seton Surgical Group, Austin, TX 78701 2016-04-04
1205094174 Kimberly Carol Ellison Nurse Practitioner 1020 Terrace Dr Ste 200, Marion, VA 24354-4393 2008-05-28
1376157594 Kimberly Ellison Nurse Practitioner 299 Prairie St N, Union Springs, AL 36089-1618 2020-09-04
1992048706 Kimberly Denise Ellison Case Manager/Care Coordinator 201 W Springdale Ave, Knoxville, TN 37917-5158 2013-03-29
1366603961 Kimberly Paige Ellison Social Worker 4159 Lowell Blvd, Denver, CO 80211-1658 2008-06-17
1700804804 Kimberly Elizabeth Ellison Nurse Practitioner 3400 Spruce St, Philadelphia, PA 19104-4206 2006-07-17

Office Location

Street Address 2225 W BROADWAY
City LOUISVILLE
State KY
Zip Code 40211-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013934959 Manoocher Mofidi Psychiatry & Neurology 2225 W Broadway, Louisville, KY 40211-1003 2006-07-16
1396274965 Angela Rudd Pharmacist 2225 W Broadway, Louisville, KY 40211-1003 2017-06-07
1164839940 Tessa Stephens Social Worker 2225 W Broadway, Louisville, KY 40211-1003 2014-07-14
1326459934 Candace Bell Marriage & Family Therapist 2225 W Broadway, Louisville, KY 40211-1003 2014-05-16
1568873552 Amna Amir Counselor 2225 W Broadway, Louisville, KY 40211-1003 2014-05-13
1225452253 Ziberia Persley Nurse's Aide 2225 W Broadway, Louisville, KY 40211-1003 2014-02-11
1114365590 Kimberly Joell Bates Counselor 2225 W Broadway, Louisville, KY 40211-1003 2013-06-07
1033556246 Paige Brown Student in an Organized Health Care Education/Training Program 2225 W Broadway, Louisville, KY 40211-1003 2013-05-29
1124462023 Rashaad Abdur-rahman Social Worker 2225 W Broadway, Louisville, KY 40211-1003 2013-04-22
1447503727 Shermeka Wallace Social Worker 2225 W Broadway, Louisville, KY 40211-1003 2012-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942792940 Kare LLC Dentist 2500 W Broadway Ste 500, Louisville, KY 40211 2018-06-05
1265943716 Practicare Home Care Services, LLC Nurse Practitioner 1667 Russell Lee Dr, Louisville, KY 40211 2017-10-23
1518478221 Latoya Samantha Hall Counselor 646 South 36th Street, Louisville, KY 40211 2017-10-20
1003071200 Mark Cassol Md Psc Ophthalmology 2600 W. Broadway, Suite 105, Louisville, KY 40211 2008-07-28
1194919548 Hardin Housing Corp Assisted Living Facility 2035 S 41st St, Louisville, KY 40211 2007-08-29
1184770562 Eta Day Care Center LLC Case Management 724 So 44th Street, Louisville, KY 40211 2007-01-26
1871571356 Alice C Gunnison Physician Assistant 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 2006-01-05
1730733783 Mark A Bush Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-07-29
1407419237 Gina M Beckford Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-04-17
1730694266 Orchid House, Inc. Early Intervention Provider Agency 703 S 31st St, Louisville, KY 40211 2017-12-06
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407479991 Robin Conway Social Worker 10205 Garlanreid Pl, Louisville, KY 40223-2969 2020-05-19
1154970226 Pamela Gay Baker Social Worker 4407 Jewell Ave, Louisville, KY 40212-2723 2019-09-10
1336703867 Socialbug Integrated Counseling Services, Inc. Social Worker 6801 Dixie Hwy Ste 232, Louisville, KY 40258-3962 2019-04-30
1033698097 Henry Lomell Buckwalter Social Worker 8910 Greeneway Commons Pl Ste 100, Louisville, KY 40220-4065 2018-08-10
1609354075 Jessica Shea Social Worker 355 S Bayly Ave Apt A, Louisville, KY 40206-2574 2018-07-29
1790276087 Amanda Averette-bush Social Worker 5521 Wilke Farm Ave, Louisville, KY 40216-1269 2018-05-23
1265939607 Caree Gordon Social Worker 850 Washburn Ave Apt 325, Louisville, KY 40222-6787 2018-04-11
1477050144 Jolanta Staniszewska Social Worker 1700 Cargo St, Louisville, KY 40299 2018-04-10
1720528862 Danielle Jennings Social Worker 4100 Waterford Cir Apt 5, Louisville, KY 40207-5244 2017-03-07
1912458340 Richard Nassr Social Worker 117 S Crestmoor Ave, Louisville, KY 40206-2736 2016-10-20
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Competitor

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City LOUISVILLE
Zip Code 40211

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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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