Active NPI
Kimberly Stevens, MSW / LCSW
- Clinical Social Worker
- Richmond, KY
National Provider Identifier
1255674909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5036
- Practice address
- 1043 Center Dr
Richmond, KY 40475-3838 - Phone
- (606) 548-0264
- NPI assigned
- Apr 1, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5036 | KY | Primary |
| Social Worker | 104100000X | 5453 | KY |
Addresses
Primary practice location
1043 Center Dr
Richmond, KY 40475-3838
Mailing address
1043 Center Dr
Richmond, KY 40475-3838
Phone (606) 548-0264
Other practice location 1
440 Allen Ave
Morehead, KY 40351-1106
Phone (606) 548-0264
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5453 | KY | MD | Social Worker |
| 5036 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Specialists, Inc | Clinical | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1255674909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 CENTER DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753838",
"telephone_number": "606-548-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 CENTER DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753838",
"telephone_number": "606-548-0264"
}
],
"practiceLocations": [
{
"address_1": "440 Allen Ave",
"address_purpose": "LOCATION",
"city": "Morehead",
"state": "KY",
"postal_code": "403511106",
"country_code": "US",
"telephone_number": "606-548-0264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "MSW / LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "5036",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "5453",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.