Kimberly Lockwood Rust, PH.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2020020501 Issued in MO

Practice address

118 1/2 N. Woodland Blvd.
Deland, FL 32720

Phone

(862) 328-6233

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Bowen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Saafe Health Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Daytona Beach, FL
  • NPI 1497048284
  NPD

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1346546132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N FLORIDA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202718",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 1/2 N. WOODLAND BLVD.",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "862-328-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "KIMBERLY",
        "middle_name": "LOCKWOOD",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9860",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020020501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOWEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Royal Health Care Services
• Lisa G Rozental
• Jill Amy Rubin, P.T.
• Lynda Majure Ruf, EDS, LMFT, LMHC
• Nick Rugai, PH.D.
• Megan Renee Ryan, PT, DPT
• James Timothy Rybinski, D.C.
• Saafe Behavioral Services LLC
• Heather Sabat, PH.D
• Marie D Sabatini, LMT

• Clinical Social Worker in Deland, FL
• Providers in Deland, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.