Active NPI
Erin Kimbrough, LCSW
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1235584970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10941
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10941 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Gonzales, LA
- NPI 1861811861
-
- Clinical Social Worker
- Gonzales, LA
- NPI 1659871051
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.