Kimberly M Higgins, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Beale Afb, CA
NPI 1275619199 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1275619199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C005310 (NC)
- Practice address
- 15301 Warren Shingle Rd
Beale Afb, CA 95903-1907 - Phone
- (530) 634-3420
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005310 | NC | MD | Clinical Social Worker |
| 7674-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrell Broaddus Psychological Services PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7674-123 | WI | |
| Clinical Social Worker | 1041C0700X | C005310 | NC | Yes |
Addresses
Primary practice location
15301 Warren Shingle Rd
Beale Afb, CA 95903-1907
Mailing address
15301 Warren Shingle Rd
Beale Afb, CA 95903-1907
Phone (530) 634-3420
Other names
- Ms. Kimberly M Highland
Other providers in Beale Afb, CA
- Timothy Lon Halpin
- Gregory Michael Hammond
- Michelle L Harring
- Tanisha E Harrison
- Joel Michael Hartong
- Charlie Holt
- Kevin Ray Hooker
- Melodee Jackson
- Diane M Janssen
- Alexander Dominic Jobrack
All providers in Beale Afb, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.