Active NPI
Kimberly Arvin, LCSW, Acsw LLC
- Community/Behavioral Health Agency
- Evansville, IN
National Provider Identifier
1306130927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 34004923A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.