Active NPI
Kimberly C Ford, LMSW
- Social Worker
- San Antonio, TX
National Provider Identifier
1407830219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801079104
- Practice address
- VA
7400 Merton Minter
San Antonio, TX 78229 - Phone
- (210) 617-5300
- Fax
- (210) 949-3326
- NPI assigned
- Dec 5, 2005
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801079104 | MI | Primary |
Addresses
Primary practice location
VA
7400 Merton Minter
San Antonio, TX 78229
Mailing address
129 Hanging Moss
Cibolo, TX 78108-3254
Phone (210) 566-0663
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 |
|---|---|---|---|
| 6801079104 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407830219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 HANGING MOSS",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083254",
"telephone_number": "210-566-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA",
"address_2": "7400 MERTON MINTER",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-617-5300",
"fax_number": "210-949-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KIMBERLY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801079104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.