Individual provider Active NPI

Kimberly Whitt, MSW, LSW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1558838417
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002540 Issued in OH
Practice address
6809 Main St # 1090
Cincinnati, OH 45244-3470
Phone
(606) 314-3110
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1502627 OH
Clinical Social Worker 1041C0700X I.2002540 OH Primary

Addresses

Primary practice location

6809 Main St # 1090
Cincinnati, OH 45244-3470

Mailing address

6809 Main St # 1090
Cincinnati, OH 45244-3470
Phone (606) 314-3110

Other practice location 1

178 Private Drive 19423
South Point, OH 45680
Phone (740) 451-0741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1502627OHMDSocial Worker
I.2002540OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1558838417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 MAIN ST # 1090",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443470",
            "telephone_number": "606-314-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 MAIN ST # 1090",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443470",
            "telephone_number": "606-314-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Private Drive 19423",
            "address_purpose": "LOCATION",
            "city": "South Point",
            "state": "OH",
            "postal_code": "45680",
            "country_code": "US",
            "telephone_number": "740-451-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITT",
        "first_name": "KIMBERLY",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1502627",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.