Kimberly Garrison, LCSW-C, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KIMBERLY GARRISON, LCSW-C, LLC

Practice address

2923 Olney Sandy Spring Rd Ste B
Olney, MD 20832-1581

Phone

(301) 466-9195

NPI assigned

Oct 27, 2021

Last updated

Oct 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly GarrisonNPI 1053537563

Title

Owner

Phone

(301) 466-9195

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Garrison, LCSW-C

  • Clinical Social Worker
  • Olney, MD
  • NPI 1053537563

  DC

  Medicare reassignment NPD Authorized official
• Ilene Lees, LCSW-C

  • Clinical Social Worker
  • Olney, MD
  • NPI 1497228068
  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1437813235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 OLNEY SANDY SPRING RD STE B",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321581",
            "telephone_number": "301-466-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 OLNEY SANDY SPRING RD STE B",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321581",
            "telephone_number": "301-466-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY GARRISON, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-466-9195"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@olneytherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2923 Olney Sandy Spring Rd Ste B",
            "city": "Olney",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208321581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaine Kim, LMSW
• JP Kim, O.D.
• Nayoung Kim
• Yong C Kim, PTA
• Paul Clark Kimball, PH.D., L.M.T.
• Richard A Kirby, MD
• Jonathan Charles Klontz, M.D.
• Robert H Knitzer, MD
• Rachel Knowles, RN
• Emanuel Joseph Kokotakis, M.D.

• Adult Mental Health Clinic/Center in Olney, MD
• Providers in Olney, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.