Active NPI
Kimberly Wesson-Guidry, DSW,MSW, LCSW
- Clinical Social Worker
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105165
- Practice address
- 4235 Pine Shadows LN
Lake Charles, LA 70615-2992 - Phone
- (337) 391-1860
- NPI assigned
- Jan 26, 2015
- Last updated
- Jun 5, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15111 | FL | |
| Clinical Social Worker | 1041C0700X | 105165 | LA | Primary |
| Case Manager/Care Coordinator | 171M00000X | 15651 | LA |
Addresses
Primary practice location
4235 Pine Shadows LN
Lake Charles, LA 70615-2992
Mailing address
4235 Pine Shadows LN
Lake Charles, LA 70615-2992
Phone (337) 391-1860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1536 Claiborne Ave
Shreveport, LA 71103-4206
Phone (318) 631-3426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15111 | FL | MD | Clinical Social Worker |
| 105165 | LA | MD | Clinical Social Worker |
| 15651 | LA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalea Health Services | Clinical | Current | Accepting new patients |
| Azalea Health Services Texas LLC | Clinical | Current | Accepting new patients |
| Milton Outreach Ministries | Clinical | Current | Accepting new patients |
| Senior Psychcare of Louisiana, LLC | Current | Accepting new patients | |
| Senior Psychological Care of Louisiana, LLC | Clinical | Current | Accepting new patients |
| Mayo Behavioral Health Services | Past | Accepting new patients |
Locations
1050 Medical Center Blvd
#C
Marrero, LA 70072
Phone (504) 347-0777
400 Meadowview Dr
Minden, LA 71055
Phone (318) 377-1011
1536 Claiborne Ave
Shreveport, LA 71103
Phone (318) 631-3426
3405 Mansfield Rd
Shreveport, LA 71103
Phone (318) 222-3100
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900
Organizations & group practices 8
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.
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- Psychologist
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- NPI 1245526490
-
- Clinical Social Worker
- Vinton, LA
- NPI 1477380004
-
- Psychiatry Physician
- Napoleonville, LA
- NPI 1821749789
-
- Clinical Social Worker
- New Braunfels, TX
- NPI 1326871807
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baton Rouge, LA
- NPI 1043916513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1699165928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 PINE SHADOWS LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706152992",
"telephone_number": "337-391-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 PINE SHADOWS LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706152992",
"telephone_number": "337-391-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSON-GUIDRY",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "DSW,MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15111",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "105165",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "15651",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Terry Welke, M.D.
- Wellness Chiropractic & Holistic Care
- Wellness Management Chiropractic & Medical Clinic Inc. (Thornell Mitchell)
- Wellness Management Chiropractic and Medical Clinic Inc.
- Miriam Werquin, LCSW
- West Cal Anesthesia Associates
- Lauren Broussard Westmoreland, M.A., L-SLP, CCC-SLP
- Alecia Wever, RN
- Freda Ann Whalen, RMT LMT CH MTI CMMP
- Joshua Allan Whatley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.