Sandy Mitchell Kimpel, LCSW
Individual provider Active NPI Clinical Social Worker · Pendleton, IN
NPI 1164539813 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164539813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34005176A (IN)
- Practice address
- 1 Plaza Dr
Suite 6
Pendleton, IN 46064-8823 - Phone
- (765) 778-0380
- Fax
- (765) 778-8328
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005176A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams Counseling & Assessment, LLC | Past | Accepting new patients | |
| Adams Counseling and Assessment | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005176A | IN | Yes |
Addresses
Primary practice location
1 Plaza Dr
Suite 6
Pendleton, IN 46064-8823
Mailing address
1 Plaza Dr
Suite 6
Pendleton, IN 46064-8823
Phone (765) 778-0380
Other providers in Pendleton, IN
- Brayden Jones
- Eric C Jones
- Megan Noel Jones
- Julian Shamsaie DDS Dental Care LLC
- Emily Kardis
- Daniel Kopanski
- Kulaar Dental Group Inc
- Lagoni Chiropractic LLC
- Frank J Lagoni Jr.
- Akilah Lamar
All providers in Pendleton, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.