Kimberlee Thomas

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P107282 Issued in NY

Practice address

3 Greenhills Rd
Huntington Station, NY 11746-3905

Phone

(718) 626-6161

NPI assigned

Aug 7, 2012

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dakxs Leadership & Empowerment Circle LLC

  • Early Intervention Provider Agency
  • West Hempstead, NY
  • NPI 1104668227
  NPD Authorized official

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1679820849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PINEBROOK AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524225",
            "telephone_number": "347-415-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GREENHILLS RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463905",
            "telephone_number": "718-626-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112302344",
            "country_code": "US",
            "telephone_number": "718-434-1012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Pinebrook Ave",
            "address_purpose": "LOCATION",
            "city": "West Hempstead",
            "state": "NY",
            "postal_code": "115524225",
            "country_code": "US",
            "telephone_number": "347-415-5214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIMBERLEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P107282",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "16895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thales Well Pharmacy Inc (well care pharmacy)
• Samuel Thampi, M.D.
• Therapeutic Use of Self, Rehab OT, PLLC
• Vicki Thibault
• Blessan Thomas, MD
• Charles Elisha Thompson III, MD
• Judith N Thompson, MENTAL HEALTH PRACTI
• Morgan Petty Thompson, RPA-C
• John Thomson, L.AC.
• Julia Thornell, CASAC T

• Social Worker in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.