Kim Hildebrand Hammons, PH.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 2212 Issued in FL

Practice address

1550 Madruga Ave
Suite 313
Coral Gables, FL 33146-3039

Phone

(305) 665-0085

NPI assigned

Jul 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164445342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 SW 82ND AVE",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581009",
            "telephone_number": "305-378-5401",
            "fax_number": "305-378-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE",
            "address_2": "SUITE 313",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463039",
            "telephone_number": "305-665-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "KIM",
        "middle_name": "HILDEBRAND",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 2212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z3234",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.