Cynthia L Kimball, LMSW, Acsw, Achp-SW, PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CYNTHIA L KIMBALL, LMSW, ACSW, ACHP-SW, PLC

Practice address

640 3 Mile Rd NW
Suite 101
Grand Rapids, MI 49544-8209

Phone

(616) 785-8900

Fax

(616) 785-8949

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Lousie Kimball, LMSW, ACSW, ACHP-SW

Title

Clinical Social Worker

Phone

(616) 785-8900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1295072320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 3 MILE RD NW",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448209",
            "telephone_number": "616-785-8900",
            "fax_number": "616-785-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3 MILE RD NW",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448209",
            "telephone_number": "616-785-8900",
            "fax_number": "616-785-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA L KIMBALL, LMSW, ACSW, ACHP-SW, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LOUSIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "616-785-8900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, ACSW, ACHP-SW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cutlerville Eyecare, P.C.
• Angelia Josephine Cutts
• James Gilbert Cutts, MSWLL
• Charlyne Marie Cuyar Cruz, MD
• Andrew James Cybulski, DDS
• Jill Cyranowski, OTR/L
• Laurie A Cyrowski, NP
• Ryan Scott Cyrus
• Anelyssa Cysne Frota D' Abreu, MD
• Joyeuse Cyusa

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.