Kimberly W. Sargent, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006814 Issued in VA

Practice address

1000 E 3Rd St Ste 300
Chattanooga, TN 37403-2153

Phone

(423) 648-9939

Fax

(423) 648-9935

NPI assigned

Jun 3, 2008

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly W Colley Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chattanooga Cares, Inc.

  dba Cempa Community Care

  • Federally Qualified Health Center (FQHC)
  • Chattanooga, TN
  • NPI 1457368524
  Medicare reassignment NPD
• Chattanooga Cares, Inc.

  dba Cempa Community Pharmacy

  • Community/Retail Pharmacy
  • Chattanooga, TN
  • NPI 1558948091
  NPD
• Kerry Leavitt Inc

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1316180466
  NPD (past)
• Paul C Wilkins MD LLC

  • Psychiatry Physician
  • Charlottesville, VA
  • NPI 1669660700
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1073772208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373220521",
            "telephone_number": "434-242-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 3RD ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032153",
            "telephone_number": "423-648-9939",
            "fax_number": "423-648-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 S Pantops Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229118671",
            "country_code": "US",
            "telephone_number": "434-296-9740 x33",
            "fax_number": "434-296-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "KIMBERLY",
        "middle_name": "W.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000006886",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "COLLEY",
            "middle_name": "W",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miguelina Santana, DHSC, LCSW
• Magdalena Santos, NP-C
• Sarita Kandel Sapkota, MBBS (M.D.)
• Karen Michelle Varona Sardar
• Deborah Joyce Sardin, R.N.
• Daniel Sarmiento, M.A.
• Karen M Sarnosky, APRN
• Eric Sasse, MD
• Lena Marie Satterfield, APRN
• Shekinah Danielle Satterfield

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.