Kimberly Cherie Kinnear, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

96196 Issued in CA

Practice address

900 E Main St Ste 201
Grass Valley, CA 95945-5853

Phone

(972) 439-8381

NPI assigned

Sep 13, 2018

Last updated

Aug 18, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1386127454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590262",
            "telephone_number": "972-439-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST STE 201",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455853",
            "telephone_number": "972-439-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEAR",
        "first_name": "KIMBERLY",
        "middle_name": "CHERIE",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda King
• Elizabeth Annandale King
• Melody King, LMFT
• Ursula Gabriele King, MFT
• Shirley Kinghorn
• Carl Kinney
• Sirci Kinney
• Phillip Lee Kintner, MD
• Carolyn Kirchner
• Martha R Kirishian, PT

• Clinical Social Worker in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.