Kimberly J Avance, MSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

6801082332 Issued in MI

Practice address

226 E Woodside St
South Bend, IN 46614-1116

Phone

(269) 240-7711

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kimberly J Avance Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1447833710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E WOODSIDE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141116",
            "telephone_number": "269-240-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E WOODSIDE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141116",
            "telephone_number": "269-240-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANCE",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801082332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "AVANCE",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristen A Atwood, APN
• Mackenzie Austgen, M.D.
• Robert S. Austgen, DDS
• Robert J Austin, MD
• Taionna Simone Austin
• Orlando Avena
• Avenue Hematology and Oncology LLC
• Ellen Avery
• Brock Ayers, RBT
• Kay Ann Azar, BS-PT, MA

• School Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• School Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.