Kimberly King, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1500337 Issued in OH

Practice address

398 W Bagley Rd
Berea, OH 44017-1369

Phone

(216) 340-0011

NPI assigned

Jun 10, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pepcleve/r4/

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.

• Ace Wellness Center

  • Mental Health Counselor
  • Berea, OH
  • NPI 1205393949
  NPD (past)
• Positive Education Program

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Cleveland, OH
  • NPI 1528035631
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1386025807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15414 ROCKSIDE RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373947",
            "telephone_number": "240-447-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171369",
            "telephone_number": "216-340-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44115",
            "country_code": "US",
            "telephone_number": "216-361-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Stutz Dr",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069176",
            "country_code": "US",
            "telephone_number": "330-286-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KIMBERLY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaden Khayat
• Elizabeth Kiefer
• Megan Marie Kilpatrick, LSW
• Melissa Kimball, OTR/L
• Anna Kindins, LPN
• Kings Transportation Services
• Breanna Kisling
• Kashindi Kizenga
• Cyril Kleem
• Maggie A Kleem, D.D.S.

• Clinical Social Worker in Berea, OH
• Providers in Berea, 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 Mar 22, 2024; 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.