Kimberly Birrell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801081184 Issued in MI

Practice address

1955 US 1 S
Nfsgvhs St. Augustine Cboc, Suite 200
St Augustine, FL 32086-3708

Phone

(904) 494-2841

Fax

(904) 829-0937

NPI assigned

Dec 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Sekelsky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Genesys Practice Partners, Inc.

  • Adult Mental Health Clinic/Center
  • Grand Blanc, MI
  • NPI 1841206281
  NPD (past)
• Genesys Practice Partners, Inc.

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1962423186
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1437332228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 US 1 S",
            "address_2": "NFSGVHS ST. AUGUSTINE CBOC, SUITE 200",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "904-494-2841",
            "fax_number": "904-829-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 US 1 S",
            "address_2": "NFSGVHS ST. AUGUSTINE CBOC, SUITE 200",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "904-494-2841",
            "fax_number": "904-829-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRRELL",
        "first_name": "KIMBERLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801081184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SEKELSKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christen Bickerstaff, PT, DPT
• Eli Billeter
• Bio-Medical Applications of Florida, Inc.
• Paula Birch, CRNA
• Gina Birmingham
• Melinda Bisenius, M.A., CCC-SLP
• Barbara Marie Bish, PHARMD, CRPH
• Samy Farid Bishai, M.D
• Lisa Reisdorf Bishop
• Daniel Alexander Black, DPM

• Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.