Justina Kimmel, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8801 Issued in WI

Practice address

717 South Blvd Ste 9
Baraboo, WI 53913-3139

Phone

(608) 630-1519

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Justina Olrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1679959654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SOUTH BLVD STE 9",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539133139",
            "telephone_number": "608-630-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SOUTH BLVD STE 9",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539133139",
            "telephone_number": "608-630-1519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 N Baldwin St",
            "address_2": "#2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537032404",
            "country_code": "US",
            "telephone_number": "608-630-1519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "JUSTINA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129537-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "OLRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richarda A Jones, LPN
• Lindsey Marie Kahler, LCSW, SAC-IT
• Przemyslaw Mateusz Kamien, M.D.
• Krystal Karbowski, RN
• Elizabeth Kerrigan, LAT
• Cathy King
• Katelynn Kingsbury
• Jennifer Claire Klein, MD
• Denise Lynn Klemm, RN,RCS
• Emily Kline, CAPSW

• Clinical Social Worker in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.