NPIMap

Organization Active NPI

Kimcares Wellness Services, LLC

  • Clinical Social Worker
  • Accokeek, MD
National Provider Identifier
1154944163
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIMCARES WELLNESS SERVICES, LLC
Practice address
15854 Livingston Rd
Accokeek, MD 20607-2220
Phone
(202) 875-9770
NPI assigned
May 26, 2020
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Ms. Kimberly Cecelia Ward, LCSW-C, LICSW, LCSWNPI 1285143826
Title
Owner/Clinical Social Worker
Phone
(301) 363-9835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

15854 Livingston Rd
Accokeek, MD 20607-2220

Mailing address

2957 Festival Way Ste 123
Waldorf, MD 20601-2959
Phone (301) 202-1759

Other identifiers 1

IdentifierTypeStateIssuer
1285143826OtherMDNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kimcares@kimcareswellness.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1154944163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 FESTIVAL WAY STE 123",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012959",
            "telephone_number": "301-202-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15854 LIVINGSTON RD",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206072220",
            "telephone_number": "202-875-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMCARES WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CECELIA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "301-363-9835",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C, LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285143826",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kimcares@kimcareswellness.org",
            "affiliation": "N",
            "endpointDescription": "Email  & G Suite HIPAA Complaint Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "15854 Livingston Rd",
            "city": "Accokeek",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206072220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Accokeek, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.