Individual provider Active NPI

Erin Kimbrough, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1235584970
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10941 Issued in LA
Practice address
14734 S Harrells Ferry Rd
Baton Rouge, LA 70816
Phone
(225) 286-7142
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10941 LA Primary

Addresses

Primary practice location

14734 S Harrells Ferry Rd
Baton Rouge, LA 70816

Mailing address

14241 Coursey Blvd Ste A12No164
Baton Rouge, LA 70817-1368
Phone (225) 286-7142

Other practice location 1

1026 E Worthy St
Ste. A
Gonzales, LA 70737-4302
Phone (225) 450-6616

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

LicenseStateTypeSpecialty
10941LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Gonzales LCSW Past Accepting new patients
Still Waters Counseling & Therapy LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1235584970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 COURSEY BLVD STE A12NO164",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171368",
            "telephone_number": "225-286-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14734 S HARRELLS FERRY RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-286-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 E Worthy St",
            "address_2": "Ste. A",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707374302",
            "country_code": "US",
            "telephone_number": "225-450-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.