Kimberly Deanne Jensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW25701 Issued in FL

Practice address

194 Magnolia Dr
Ormond Beach, FL 32176-8115

Phone

(309) 825-4668

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1528614658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MAGNOLIA DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321768115",
            "telephone_number": "309-825-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 MAGNOLIA DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321768115",
            "telephone_number": "309-825-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20325 N 51st Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853084622",
            "country_code": "US",
            "telephone_number": "623-466-6350",
            "fax_number": "602-358-8698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KIMBERLY",
        "middle_name": "DEANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25701",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW23738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wenisha Jean
• Jean-Claude Jeanty, M.D.
• Demeshanique Jefferson
• Jeffrey Demercurio MD PA (Florida Center for Plastic and Cosmetic Surgery)
• Jeffrey T Newfield DO PA (Newfield Orthopedics)
• Jerrold Ecklind DO PA
• John B Turner MD PA
• John F Cullen MD
• John R. Chewning DO PA
• John Zak III PA Inc

• Clinical Social Worker in Ormond Beach, FL
• Providers in Ormond Beach, 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 Aug 11, 2026; 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.