Kimberly Lane Davis, LCSW
Individual provider Active NPI Social Worker · Clanton, AL
NPI 1649338690 · NPPES record last updated Jan 25, 2008
Key facts
- NPI
- 1649338690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1911C (AL)
- Practice address
- 110 Medical Center Dr
Clanton, AL 35045-2332 - Phone
- (205) 982-3187
- Fax
- (205) 755-8882
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1911C | AL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Board of Chilton and Shelby Counties Inc | Past | Accepting new patients | |
| Mental Health Board of Chilton and Shelby Counties Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1911C | AL | Yes |
Addresses
Primary practice location
110 Medical Center Dr
Clanton, AL 35045-2332
Mailing address
PO Box 689
Calera, AL 35040-0689
Phone (205) 982-3187
Other names
- Kimberly Lane Smith
Other providers in Clanton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.