Active NPI
Kimberly Reeves, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1447445978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904010978
- Practice address
- 5649 S Laburnum Ave
Richmond, VA 23231-4418 - Phone
- (804) 789-1314
- Fax
- (804) 482-3767
- NPI assigned
- Sep 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1849 | CO | |
| Clinical Social Worker | 1041C0700X | 0904010978 | VA | Primary |
Addresses
Primary practice location
5649 S Laburnum Ave
Richmond, VA 23231-4418
Mailing address
5649 S Laburnum Ave
Richmond, VA 23231-4418
Phone (804) 789-1314
Other practice location 1
439 Breeze St
Suite 200
Craig, CO 81625-2650
Phone (970) 824-6541
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1849 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowering You for Positive Change | Past | Accepting new patients |
Interoperability endpoints
- ethoscareinc.kimberlyreeves@151221.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1538446679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1447445978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5649 S LABURNUM AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232314418",
"telephone_number": "804-789-1314",
"fax_number": "804-482-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5649 S LABURNUM AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232314418",
"telephone_number": "804-789-1314",
"fax_number": "804-482-3767"
}
],
"practiceLocations": [
{
"address_1": "439 Breeze St",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Craig",
"state": "CO",
"postal_code": "816252650",
"country_code": "US",
"telephone_number": "970-824-6541",
"fax_number": "970-824-0313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEVES",
"first_name": "KIMBERLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "1849",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.