Individual provider Active NPI

Kimberly Wesson-Guidry, DSW,MSW, LCSW

  • Clinical Social Worker
  • Lake Charles, LA
National Provider Identifier
1699165928
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105165 Issued in LA
Practice address
4235 Pine Shadows LN
Lake Charles, LA 70615-2992
Phone
(337) 391-1860
NPI assigned
Jan 26, 2015
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200708000021 LA Practitioner - Clinical Social Worker 7618226200 Reassigns benefits to 3 organizations
I20210821000150 TX Practitioner - Clinical Social Worker 7618226200 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SW15111FLMDClinical Social Worker
105165LAMDClinical Social Worker
15651LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Clinical CurrentSince Apr 1, 2024 Accepting new patients
Azalea Health Services Texas LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Milton Outreach Ministries Clinical CurrentSince Sep 23, 2024 Accepting new patients
Senior Psychcare of Louisiana, LLC CurrentSince Jan 15, 2025 Accepting new patients
Senior Psychological Care of Louisiana, LLC Clinical CurrentSince Jan 15, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.