Kimberly Lyn Minnick, LISW-CP, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6240 Issued in SC

Practice address

601 W Main St
Spartanburg, SC 29301-2105

Phone

(864) 363-0063

Fax

(864) 542-2324

NPI assigned

Jan 9, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Turning Leaves Center LLC

  • Clinical Social Worker
  • Spartanburg, SC
  • NPI 1831664614
  NPD (past)
• Turning Leaves Therapy, LLP

  • Clinical Social Worker
  • Spartanburg, SC
  • NPI 1972727261
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467501254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FAIRVIEW LAKE WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807144",
            "telephone_number": "864-363-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012105",
            "telephone_number": "864-363-0063",
            "fax_number": "864-542-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "KIMBERLY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "LISW-CP, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Elizabeth Milner, MS, CCC-SLP
• Jonathan Lee Mims, DMD
• William Walton Mims III, MD
• Mind Bloom LLC
• Nicholas Minner, DO
• Alyssa Boscia Minute, DNP
• Miracle Medical Supply Inc
• Srdjan Mirkovic, MD
• Yevgeny Eugene Mironer, MD
• Irina Surzhukov Mishler, APRN, NP-C

• Clinical Social Worker in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.