Active NPI
Kimberly H Rickels, LCSW
- Clinical Social Worker
- Cordova, TN
National Provider Identifier
1659458347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5646
- 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
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 | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Healthcare Services | Current | Accepting new patients | |
| Blues City Psychiatry, PLLC | Current | Accepting new patients | |
| Alliance Healthcare Services | Clinical | Current | 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.
-
- Psychiatry Physician
- Cordova, TN
- NPI 1750696340
-
- Clinic Pharmacy
- Memphis, TN
- NPI 1912312828
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.