JUSTIN KIMBEL (NPI# 1780283184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780283184 |
| Entity Type | Individual |
| Full Name | JUSTIN KIMBEL |
| Practice Address |
2025 Washington St Waukegan IL 60085-5131 |
| Mailing Address |
1405 North Ave Apt 301 Waukegan IL 60085-1904 |
| Practice Telephone | 8473601020 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2025 WASHINGTON ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174709810 | Independence Center, Inc. | Case Management | 2025 Washington St, Waukegan, IL 60085-5131 | 2008-01-11 |
| 1316547656 | Keli R Poppe | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-27 |
| 1588262109 | Anna Bridget Crofts | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-15 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1508464330 | Theresa Lynn Mugerditchian | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1184222135 | Paul Mazzetta | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-13 |
| 1679171789 | Madison Lapidus | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-12 |
| 1588270656 | Alona Diane Miller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-09-23 |
| 1649895699 | Amber Hamby | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-06-15 |
| 1497380463 | Chelsey Glatz | Student in an Organized Health Care Education/Training Program | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528436839 | William Ryan O'donnell | Social Worker | 1091 S Talcott Dr, Waukegan, IL 60085-8605 | 2015-09-03 |
| 1467844035 | Chrisann Marie Caliendo | Social Worker | 2025 Washington St., Waukegan, IL 60085-5131 | 2015-02-19 |
| 1588262109 | Anna Bridget Crofts | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-15 |
| 1508464330 | Theresa Lynn Mugerditchian | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1184222135 | Paul Mazzetta | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-13 |
| 1679171789 | Madison Lapidus | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-12 |
| 1073124269 | Erika Denny | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1558972836 | Dawid Tryba | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-11 |
| 1154953586 | Leslie Stephanie Maitland-mitchell | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-02-04 |
| 1487284337 | Amanda Mikols | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-01-20 |
| Find all providers in WAUKEGAN | ||||
Please comment or provide details below to improve the information on JUSTIN KIMBEL.
| 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.