KIMBERLY A WASHBURN (NPI# 1841756269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841756269 |
| Entity Type | Individual |
| Full Name | KIMBERLY A WASHBURN |
| Credential | MSW |
| Practice Address |
2014 Vandalia St Collinsville IL 62234-4848 |
| Mailing Address |
318 Berwick Xing Belleville IL 62221-3009 |
| Practice Telephone | 6183459536 |
| Mailing Telephone | 3183491056 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549088 | Kimberly Washburn | Case Manager/Care Coordinator | 43g Pinsbaari Dr, Pueblo of Acoma, NM 87034-1001 | 2020-02-07 |
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1841565876 | Kimberly Ann Washburn | Specialist/Technologist, Other | 220 Lamar Smith Dr, Newnan, GA 30263-4086 | 2012-03-08 |
| 1639315948 | Kimberly Ann Washburn | Obstetrics & Gynecology | 5300 S Sutter Dr, Ste 11, Show Low, AZ 85901-8050 | 2008-12-17 |
| Street Address |
2014 VANDALIA ST |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831108141 | David A. Daly | Marriage & Family Therapist | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2006-08-05 |
| 1306346648 | Daniel Jon Essenpreis | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2018-02-13 |
| 1083122352 | David Charles Juelfs | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2018-01-19 |
| 1194244178 | Ellyn Busker | Counselor | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2017-09-12 |
| 1437671385 | Andrea Renee Suess | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2017-07-12 |
| 1669925335 | James Phillips | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2016-07-29 |
| 1801274972 | Jill Gabbrielle Glaser-abernathy | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2015-05-11 |
| 1821496647 | Marti Baricevic | Marriage & Family Therapist | 2014 Vandalia St, Family Life Consultants, Inc, Collinsville, IL 62234-5133 | 2014-12-10 |
| 1417396110 | Michelle Graham | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2013-06-17 |
| 1386998938 | Diana L Wall- Dudley | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2012-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| 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 |
|---|---|---|---|---|
| 1093174245 | Anna Xiong | Social Worker | 12415 E 166th St N, Collinsville, OK 74021-4529 | 2016-02-16 |
| 1386019339 | Shawn Rakes | Social Worker | 15610 N 145th East Ave, Collinsville, OK 74021-4646 | 2015-12-02 |
| 1174952535 | Julie Ann Hudson | Social Worker | 12157 N 107th East Pl, Collinsville, OK 74021-5568 | 2013-11-06 |
| 1306346648 | Daniel Jon Essenpreis | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2018-02-13 |
| 1669925335 | James Phillips | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2016-07-29 |
| 1417396110 | Michelle Graham | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2013-06-17 |
| 1629336813 | Lynn Frances Lauber | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2012-04-25 |
| 1205076056 | Shannon Noelle Hall-nannini | Social Worker | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295210 | Rachel H Maldonado | Social Worker | 312 Park Ave, Clarendon Hills, IL 60514-0400 | 2020-11-03 |
| 1982204889 | Emily Cotto | Social Worker | 521 S La Grange Rd Ste 201, La Grange, IL 60525-5633 | 2020-10-29 |
| 1689274763 | Matthew L Fetrow | Social Worker | 3001 Green Bay Rd Bldg 7, North Chicago, IL 60064-3048 | 2020-10-28 |
| 1013516517 | Jessica Ann Kurpiel | Social Worker | 244 N Craig Pl, Lombard, IL 60148-2007 | 2020-10-26 |
| 1699375121 | Deanna L Reed | Social Worker | 23819 W Mill St Ste 9, Plainfield, IL 60544-3460 | 2020-10-26 |
| 1285233825 | Grace Harrington | Social Worker | 1040 North Blvd Ste 225, Oak Park, IL 60301-1143 | 2020-10-24 |
| 1881293579 | Sheri Mccue | Social Worker | 4209 W Shamrock Ln # 1a, Mchenry, IL 60050-8700 | 2020-10-22 |
| 1811595325 | Veronica Lozano | Social Worker | 1 E Erie St Ste 525-4066, Chicago, IL 60611-2740 | 2020-10-16 |
| 1336747633 | Latrisha Mooberry | Social Worker | 2001 W Willow Knolls Dr Ste 210, Peoria, IL 61614-1257 | 2020-10-09 |
| 1285231688 | Alyssa Oddo | Social Worker | 2011 Gladstone Dr, Wheaton, IL 60189-5825 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
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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.