Individual provider Active NPI

Kimberly A Harrell, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1417618935
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1333 Old Spanish TRL Ste J
Houston, TX 77054-1841
Phone
(631) 867-6571
NPI assigned
Jan 6, 2022
Last updated
Jul 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TX Primary

Addresses

Primary practice location

1333 Old Spanish TRL Ste J
Houston, TX 77054-1841

Mailing address

1555 Cullen Blvd
Pearland, TX 77581-9012
Phone (832) 377-5745

Other practice location 1

3201 Matlock Rd Ste 350
Arlington, TX 76015-2954
Phone (864) 336-2731

Other practice location 2

2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Phone (864) 336-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826003037 TX Practitioner - Clinical Social Worker 8921508680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

144 Oakland St
Wellesley, MA 02481-5323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66473TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Omega OB-GYN Associates of South Arlington CurrentSince Sep 12, 2025 Accepting new patients
Bio-Medical Applications of Texas, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Familywell PLLC Clinical CurrentSince Jul 8, 2025 Accepting new patients
Familywell PLLC Clinical PastSince Jan 28, 2024 Accepting new patients
Bio-Medical Applications of Texas, Inc PastSince Jan 17, 2022 Accepting new patients

Locations

3201 Matlock Rd
Ste 350
Arlington, TX 76015
Phone (817) 468-3255

2025 Guadalupe St
Ste 260
Austin, TX 78705
Phone (508) 658-3489

1333 Old Spanish Trl
Ste J
Houston, TX 77054
Phone (631) 867-6571

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20865/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1417618935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 CULLEN BLVD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819012",
            "telephone_number": "832-377-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 OLD SPANISH TRL STE J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541841",
            "telephone_number": "631-867-6571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Matlock Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152954",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Guadalupe St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787055642",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.