Individual provider Active NPI

Kimberly A Sindy, LCSW

  • Clinical Social Worker
  • Ocala, FL
National Provider Identifier
1174037816
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16084 Issued in FL
Practice address
1515 E Silver Springs Blvd Ste 1472
Ocala, FL 34470-6831
Phone
(352) 875-3029
Fax
(352) 877-2493
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP100387 FL
Mental Health Counselor 101YM0800X SW16084 FL
Clinical Social Worker 1041C0700X SW16084 FL Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1515 E Silver Springs Blvd Ste 1472
Ocala, FL 34470-6831

Mailing address

4572 SW 44TH CT
Ocala, FL 34474-4345
Phone (352) 875-3029

Other practice location 1

1025 SW 1st Ave
Ocala, FL 34471-0900
Phone (352) 732-6599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404001725 FL Practitioner - Clinical Social Worker 4880935618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 E Silver Springs Blvd
Suite 123
Ocala, FL 34470-6833
Phone (352) 875-3029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCAP100387FLMDAddiction (Substance Use Disorder) Counselor
SW16084FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Life Therapy CurrentSince Aug 1, 2021 Accepting new patients

Locations

1515 E Silver Springs Blvd
Ste 123
Ocala, FL 34470
Phone (352) 875-3029

1515 E Silver Springs Blvd
Ste 1472
Ocala, FL 34470
Phone (352) 207-3937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1174037816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 SW 44TH CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744345",
            "telephone_number": "352-875-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E SILVER SPRINGS BLVD STE 1472",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706831",
            "telephone_number": "352-875-3029",
            "fax_number": "352-877-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 SW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710900",
            "country_code": "US",
            "telephone_number": "352-732-6599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINDY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-05-24",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100387",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW16084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16084",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.