Active NPI
Kelly Kimberlin, LMSW
- Social Worker
- West Lake Hills, TX
National Provider Identifier
1437499670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 55255
- Practice address
- 1000 Westbank Dr Ste 6-250
West Lake Hills, TX 78746-6598 - Phone
- (512) 861-8991
- NPI assigned
- Feb 25, 2013
- Last updated
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 55255 | TX | Primary |
Addresses
Primary practice location
1000 Westbank Dr Ste 6-250
West Lake Hills, TX 78746-6598
Mailing address
1000 Westbank Dr Ste 6-250
West Lake Hills, TX 78746-6598
Phone (512) 861-8991
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 |
|---|---|---|---|
| 55255 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1437499670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WESTBANK DR STE 6-250",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466598",
"telephone_number": "512-861-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WESTBANK DR STE 6-250",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466598",
"telephone_number": "512-861-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBERLIN",
"first_name": "KELLY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "55255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.