Active NPI
Kimberly A May, M.S.W., LCSW
- Clinical Social Worker
- Deland, FL
National Provider Identifier
1619907540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5337
- Practice address
- 120 E New York Ave Ste G
Deland, FL 32724-5527 - Phone
- (386) 736-9113
- Fax
- (386) 736-8442
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5337 | FL | Primary |
Addresses
Primary practice location
120 E New York Ave Ste G
Deland, FL 32724-5527
Mailing address
PO Box 4650
Deland, FL 32721-4650
Phone (386) 736-9113
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Performance Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1215598529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1619907540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4650",
"city": "DELAND",
"state": "FL",
"postal_code": "327214650",
"telephone_number": "386-736-9113",
"fax_number": "386-736-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E NEW YORK AVE STE G",
"city": "DELAND",
"state": "FL",
"postal_code": "327245527",
"telephone_number": "386-736-9113",
"fax_number": "386-736-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.S.W., LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.