Kimberly Rouse, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1450875 Issued in OH

Practice address

8680 Rock Riffle Rd
Athens, OH 45701-9656

Phone

(740) 292-2010

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly D Castor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1326448366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 ROCK RIFFLE RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019656",
            "telephone_number": "740-292-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 ROCK RIFFLE RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019656",
            "telephone_number": "740-292-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "KIMBERLY",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1450875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CASTOR",
            "middle_name": "D",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isaiah Ross
• Kayla Ross
• Rachel Ross
• Spencer Rossman
• Mark Terry Rothstein, M.D.
• Cassandra Roush
• Kasey Lynn Roush
• Kim Ronald Routh, DO
• Lawrence M Rubens, M.D.
• Lauren Rudolph

• Clinical Social Worker in Athens, OH
• Providers in Athens, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.