Kimberly Moret Licensed Clinical Social Worker, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIMBERLY MORET LICENSED CLINICAL SOCIAL WORKER, PC

Practice address

14021 Amargosa Rd Ste 100
Victorville, CA 92392-6404

Phone

(760) 513-1550

Fax

(760) 513-9743

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly A Moret, LCSW

Title

Ceo

Phone

(442) 294-6934

Specialties & licenses 1

Addresses

Other names 2

• High Desert Wellness Doing business as
• Solution Focused Fitness Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Michael Higgins, LCSW

  • Clinical Social Worker
  • Victorville, CA
  • NPI 1518606060
  NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1083296263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 AMARGOSA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926404",
            "telephone_number": "760-513-1550",
            "fax_number": "760-513-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 AMARGOSA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926404",
            "telephone_number": "760-513-1550",
            "fax_number": "760-513-9743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9681 Business Center Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304579",
            "country_code": "US",
            "telephone_number": "442-294-6934",
            "fax_number": "760-513-9743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIMBERLY MORET LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "MORET",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "442-294-6934",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solution Focused Fitness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kellee Kim
• Sang Jo Kim, L.AC.
• Taejune Kim
• Yoonah Kim
• Tamara Lee Kimball
• Semetrah Alima Kincannon, M.S. CCC SLP
• Sarah Renee Kindred, AMFT, APCC
• Pamela King-Terry
• Amber King, LCSW
• Beverly A King

• Clinical Social Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.