Active NPI
Kimberly Brown, LCSW
- Clinical Social Worker
- Gainesville, FL
National Provider Identifier
1316394174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17256
- Practice address
- 1601 SW Archer Rd
Gainesville, FL 32608-1135 - Phone
- (352) 548-6000
- NPI assigned
- May 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW17256 | FL | Primary |
Addresses
Primary practice location
1601 SW Archer Rd
Gainesville, FL 32608-1135
Mailing address
1406 SE 4TH Ave
Gainesville, FL 32641-7342
Phone (352) 262-9991
Other practice location 1
1731 NW 6th St Ste A
Gainesville, FL 32609-8515
Phone (352) 562-0336
Other practice location 2
4300 SW 13th St
Gainesville, FL 32608-4006
Phone (352) 374-5600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17256 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Kares Counseling | Current | Accepting new patients |
Locations
1731 NW 6th St
Ste A
Gainesville, FL 32609
Phone (352) 562-0336
Interoperability endpoints
- kimberly.brown.1@29601.direct.athenahealth.com
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Gainesville, FL
- NPI 1871102020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1316394174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 SE 4TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326417342",
"telephone_number": "352-262-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081135",
"telephone_number": "352-548-6000"
}
],
"practiceLocations": [
{
"address_1": "1731 NW 6th St Ste A",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326098515",
"country_code": "US",
"telephone_number": "352-562-0336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 SW 13th St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326084006",
"country_code": "US",
"telephone_number": "352-374-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KIMBERLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW17256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.