Kimberly Danielle McDaniel, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1829-C Issued in AR

Practice address

6560 Poplar Ave
Memphis, TN 38138-3656

Phone

(901) 767-8511

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jim Pang MD PLLCGroup PAC ID 4688925696, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.mcdaniel.1@32437.direct.athenahealth.com

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.

• Jim Pang MD PLLC

  • Clinic/Center
  • Cordova, TN
  • NPI 1447620901
  Medicare reassignment Care Compare group NPD
• Kids for the Future, Inc.

  • Clinical Child & Adolescent Psychologist
  • West Memphis, AR
  • NPI 1770719106
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1467555201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6538 PALACE VIEW LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347977",
            "telephone_number": "901-381-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383656",
            "telephone_number": "901-767-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "KIMBERLY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "1829-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin K McDade, PT
• Darah Lockhart McDaniel-Chandler, O.D.
• Carter Ennis McDaniel III, MD
• David Lewis McDaniel Jr.
• Kaitlin Michelle McDaniel, PA-C
• Stephen McDaniel, NP
• Tuwanna Lynn McDaniel, RN
• Meghan Eileen McDevitt-Murphy, PH.D.
• Kara McDevitt
• Jacquelyn McDonald, DPT

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.