Kimberly Ann Maple-Colley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013035 Issued in IL

Practice address

708 W Carpenter St
Jerseyville, IL 62052-2018

Phone

(618) 406-1930

NPI assigned

Mar 11, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1497171672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W CARPENTER ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522018",
            "telephone_number": "618-406-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W CARPENTER ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522018",
            "telephone_number": "618-406-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLE-COLLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin A. Lovel, M.S., CCC-SLP/L
• Tracy Rene Lovel, CCC SLPL
• Seth Andrew Luebbert
• Timothy Lyons, MD
• Mallex Corporation (The Medicine Shoppe Pharmacy)
• Stephanie Marshall, BCBA
• Patrick Masching, MD
• Lauren McCarthy, DPM
• Brandy McCoy
• Christine McCoy, P.T.

• Clinical Social Worker in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.