Active NPI
Kimberly Micheline English, LCSW
- Clinical Social Worker
- Shelbyville, TN
National Provider Identifier
1174819247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5864
- Practice address
- 610 N Brittain St
Shelbyville, TN 37160-3402 - Phone
- (931) 580-8080
- NPI assigned
- Jun 27, 2011
- Last updated
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5864 | TN | Primary |
Addresses
Primary practice location
610 N Brittain St
Shelbyville, TN 37160-3402
Mailing address
PO Box 604
Shelbyville, TN 37162-0604
Phone (931) 580-8080
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 |
|---|---|---|---|
| 5864 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1174819247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371620604",
"telephone_number": "931-580-8080",
"fax_number": "931-684-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N BRITTAIN ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371603402",
"telephone_number": "931-580-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLISH",
"first_name": "KIMBERLY",
"middle_name": "MICHELINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "5864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.