Kimberly Burnham Denson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6481 Issued in MS

Practice address

299 Highway 51 Ste F2
Ridgeland, MS 39157-3424

Phone

(601) 790-9266

Fax

(601) 790-9267

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1013017904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HIGHWAY 51 STE F2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573424",
            "telephone_number": "601-790-9266",
            "fax_number": "601-790-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HIGHWAY 51 STE F2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573424",
            "telephone_number": "601-790-9266",
            "fax_number": "601-790-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON",
        "first_name": "KIMBERLY",
        "middle_name": "BURNHAM",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Defining Wellness Medical Center
• Natalie Scalise Degroff, FNP
• Leslie B Delaney, M.D.
• Arthur Delashmet, DPH
• Anna-Maria Dempsey, LPC
• Racolesha Raequel Denson, FNP-C
• Dermatology Consultants, PLLC
• Jeremy W Descombes Sr., PTA
• DGS Management Group, LLC
• Christina L Dial, D.O.

• Clinical Social Worker in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.