Kimberly Jean Endres, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16550 Issued in MN

Practice address

3115 Hennepin Ave
Minneapolis, MN 55408-2620

Phone

(612) 444-9741

Fax

(612) 484-4064

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Jean Hines Norman Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kimberly Endres LLC

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1326860859
  NPD Authorized official
• Family Support Services Inc.

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1689696130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 JUNO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161659",
            "telephone_number": "612-715-3933",
            "fax_number": "651-333-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082620",
            "telephone_number": "612-444-9741",
            "fax_number": "612-484-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587434300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HINES NORMAN",
            "middle_name": "JEAN",
            "credential": "MSW LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Endle
• Endless Possibilities - Integrative Physical Therapy, LLC
• Endocrine & Diabetes Associates, P.a.
• Endodontic Professionals PA - St Anthony Endodontics
• Julia Endres-Spray, RN PHN MA
• Awele Eneanya, LPCC
• Joy Eneogwe
• Brian Engdahl, PHD
• Terri Lynn Engdahl, RN
• Nathaniel Allen Enge

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.