Active NPI
Brandy Kay Kimmey, LSW, CDCA
- Social Worker
- Washington Court House, OH
National Provider Identifier
1164847307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2105976
- Practice address
- 1156 Columbus Ave Ste C
Washington Court House, OH 43160-2612 - Phone
- (740) 270-3286
- Fax
- (513) 695-2952
- NPI assigned
- Feb 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.100633 | OH | |
| Clinical Social Worker | 1041C0700X | S-1430052 | OH | |
| Social Worker | 104100000X | S.2105976 | OH | Primary |
Addresses
Primary practice location
1156 Columbus Ave Ste C
Washington Court House, OH 43160-2612
Mailing address
5349 Burkhardt Road
Dayton, OH 45431
Phone (833) 510-4357
Other practice location 1
485 W Main St
Wilmington, OH 45177-2174
Phone (833) 510-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.100633 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2105976 | OH | MD | Social Worker |
| S-1430052 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1164847307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5349 BURKHARDT ROAD",
"city": "DAYTON",
"state": "OH",
"postal_code": "45431",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 COLUMBUS AVE STE C",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431602612",
"telephone_number": "740-270-3286",
"fax_number": "513-695-2952"
}
],
"practiceLocations": [
{
"address_1": "485 W Main St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "OH",
"postal_code": "451772174",
"country_code": "US",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMMEY",
"first_name": "BRANDY",
"middle_name": "KAY",
"credential": "LSW, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2023-04-07",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.100633",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S-1430052",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2105976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.