Active NPI
Kimber Suzanne Middleton
- Social Worker
- Falling Waters, WV
National Provider Identifier
1235796509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW12327
- Practice address
- 1176 T J Jackson Dr Ste D
Falling Waters, WV 25419-4683 - Phone
- (304) 263-6776
- NPI assigned
- May 22, 2019
- Last updated
- Mar 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW12327 | FL | |
| Social Worker | 104100000X | ISW12327 | FL | Primary |
Addresses
Primary practice location
1176 T J Jackson Dr Ste D
Falling Waters, WV 25419-4683
Mailing address
5635 Mount Briar Rd
Keedysville, MD 21756-1529
Phone (239) 222-0339
Other practice location 1
722 SE 6th Ter
Cape Coral, FL 33990-1171
Phone (352) 834-1551
Other names 1
- Kimber Suzanne McDaniel
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 |
|---|---|---|---|
| ISW12327 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Counseling and Consulting Services | Clinical | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Cape Coral, FL
- NPI 1437939352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709424000000",
"number": "1235796509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 MOUNT BRIAR RD",
"city": "KEEDYSVILLE",
"state": "MD",
"postal_code": "217561529",
"telephone_number": "239-222-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 T J JACKSON DR STE D",
"city": "FALLING WATERS",
"state": "WV",
"postal_code": "254194683",
"telephone_number": "304-263-6776"
}
],
"practiceLocations": [
{
"address_1": "722 SE 6th Ter",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339901171",
"country_code": "US",
"telephone_number": "352-834-1551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDLETON",
"first_name": "KIMBER",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2024-03-03",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW12327",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW12327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBER",
"last_name": "MCDANIEL",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Falling Waters, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.