Kimberly A Depatie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10711 Issued in FL

Practice address

12777 Forest Hill Blvd
Suite 1501
Wellington, FL 33414-4775

Phone

(561) 313-1004

NPI assigned

Feb 17, 2012

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1467725648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 LAKEVIEW DR W",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118778",
            "telephone_number": "561-313-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 FOREST HILL BLVD",
            "address_2": "SUITE 1501",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144775",
            "telephone_number": "561-313-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPATIE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW10711",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10711",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "SW10711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Demby, MA, OTR/L
• Christina Rose Denicola, LMHC
• Briah Denizard
• Jacqueline Denobriga, MD
• Brittany Deonarine
• Dermatology & Cutaneous Surgery Institute (Dcsi), PA
• Dermatology Center of Wellington PA
• Julie Derose, LCSW
• Des Cares LLC
• Desiree Garzon, DPM, PA (County Wide Foot, Ankle, and Wound Care)

• Clinical Social Worker in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.