Florence W Kimondo, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026215 Issued in IL

Practice address

2012 Brummel St
Evanston, IL 60202-3606

Phone

(224) 777-0570

NPI assigned

Feb 7, 2024

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)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Compassion Couch Therapy LLC

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1821856907
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1093579302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 DODGE AVE.",
            "address_2": "PO BOX 368",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60202",
            "telephone_number": "224-777-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 BRUMMEL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023606",
            "telephone_number": "224-777-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMONDO",
        "first_name": "FLORENCE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tae Yeon Kim, MD
• Una O Kim, MD
• Yolanda C Kim, LCSW
• Merikay Kimball
• Valerie A Kimball, M.D.
• Margaret Mary Kincaid, PH.D.
• Octavia Kincaid, M.D.
• Karen Kinderman
• Kindroot Counseling, PLLC
• Carter Kindschy, PA-C

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.