Kimberly Acheson, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10560 Issued in FL

Legal business name

KIMBERLY ACHESON, INC

Practice address

14614 Chatsworth Manor Cir
Tampa, FL 33626-3304

Phone

(813) 727-0264

NPI assigned

Mar 2, 2014

Organization subpart

No

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

Authorized official

Name

Kimberly Christel Acheson, LCSW

Title

Owner/Clinical Therapist

Phone

(813) 727-0264

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1393718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1629493572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14614 CHATSWORTH MANOR CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263304",
            "telephone_number": "813-727-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14614 CHATSWORTH MANOR CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263304",
            "telephone_number": "813-727-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ACHESON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-02",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "ACHESON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CHRISTEL",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "813-727-0264",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12611799",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy J Kim, M.D.
• Youngwan Kim, MD
• Kimball Clinical Solutions LLC
• Amy L Kimball-Carpenter, MS, OTR/L
• Amanda Kimball
• Kimberly Gray-White MD PA
• Alyssa Danielle Kimble, MD
• Jenelynn Kimble, NP
• Sarah Brady Kimble, M.D.
• Channing Kimbrough

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, 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 Mar 22, 2024; 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.