Individual provider Active NPI

Kimberly H Rickels, LCSW

  • Clinical Social Worker
  • Cordova, TN
National Provider Identifier
1659458347
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5646 Issued in TN
Practice address
8336 Macon Rd
Cordova, TN 38018-8554
Phone
(901) 682-3035
Fax
(901) 682-3047
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5646 TN Primary

Addresses

Primary practice location

8336 Macon Rd
Cordova, TN 38018-8554

Mailing address

6787 Satinwood CV
Memphis, TN 38119-5627
Phone (901) 491-5606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000315 TN Practitioner - Clinical Social Worker 7416011515 Reassigns benefits to 2 organizations
Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blues City Psychiatry, PLLCGroup PAC ID 7618001470, 8 clinicians

Practice addresses (Care Compare)

Memphis, TN 38119
Phone (901) 910-1655

8336 Macon Rd
Cordova, TN 38018-8554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Feb 27, 2012 Accepting new patients
Blues City Psychiatry, PLLC CurrentSince May 1, 2024 Accepting new patients
Alliance Healthcare Services Clinical CurrentSince Feb 27, 2012 Accepting new patients

Locations

8336 Macon Rd
Cordova, TN 38018
Phone (901) 682-3035

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1659458347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6787 SATINWOOD CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195627",
            "telephone_number": "901-491-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188554",
            "telephone_number": "901-682-3035",
            "fax_number": "901-682-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKELS",
        "first_name": "KIMBERLY",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.