Kimberly Kaisher, LCSW, Lcac, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005904A Issued in IN

Legal business name

KIMBERLY KAISHER, LCSW, LCAC, LLC

Practice address

1950 Doctors Park Dr Ste a
Columbus, IN 47203-2376

Phone

(812) 565-9318

Fax

(812) 379-8020

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Mary Kaisher, LCSW, LCACNPI 1215253505

Title

Therapist

Phone

(812) 565-9318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Kimberly Mary Kaisher, LCSW, LCAC

  • Clinical Social Worker
  • Columbus, IN
  • NPI 1215253505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1124511233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DOCTORS PARK DR STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032376",
            "telephone_number": "812-565-9318",
            "fax_number": "812-379-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DOCTORS PARK DR STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032376",
            "telephone_number": "812-565-9318",
            "fax_number": "812-379-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 7th St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472016200",
            "country_code": "US",
            "telephone_number": "812-552-3634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1944 Union St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472014240",
            "country_code": "US",
            "telephone_number": "812-552-3634",
            "fax_number": "812-552-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIMBERLY KAISHER, LCSW, LCAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "KAISHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "812-565-9318",
        "authorized_official_credential": "LCSW, LCAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005904A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kieninger
• Ashley E Kiilu, PA-C
• Keeleigh Kikendall
• Chong B Kim, MD
• Macy Kimball
• Kortlyn Kimbrough, PHARMD
• Kindred Ties Therapy, LLC
• Brenda Hackney King
• Jason Konrad King, M.D.
• Ronald Duane King, PT

• Clinical Social Worker in Columbus, IN
• Providers in Columbus, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.