Organization Active NPI

Kimberly Arvin, LCSW, Acsw LLC

  • Community/Behavioral Health Agency
  • Evansville, IN
National Provider Identifier
1306130927
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
34004923A Issued in IN
Legal business name
KIMBERLY ARVIN, LCSW, ACSW LLC
Practice address
815 John St
Suite 110-G
Evansville, IN 47713-2746
Phone
(812) 598-4960
Fax
(812) 425-2585
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Miss Kimberly Dawn Arvin, LCSW, ACSW
Title
Owner
Phone
(812) 598-4960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 34004923A IN Primary

Addresses

Primary practice location

815 John St
Suite 110-G
Evansville, IN 47713-2746

Mailing address

815 John St
Suite 110-G
Evansville, IN 47713-2746
Phone (812) 598-4960

National Provider Directory

National Provider Directory

Locations

401 SE 6th St
Ste 107
Evansville, IN 47713
Phone (812) 598-4960

815 John St
#110G
Evansville, IN 47713
Phone (812) 598-4960

815 John St
Ste 110G
Evansville, IN 47713
Phone (812) 598-4960

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1306130927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JOHN ST",
            "address_2": "SUITE 110-G",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-598-4960",
            "fax_number": "812-425-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JOHN ST",
            "address_2": "SUITE 110-G",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-598-4960",
            "fax_number": "812-425-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ARVIN, LCSW, ACSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "ARVIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-598-4960",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34004923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.