Active NPI
Kimberly Insley
- Clinical Social Worker
- Springfield, OH
National Provider Identifier
1710491105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2002246
- Practice address
- 474 N Yellow Springs St
Springfield, OH 45504-2463 - Phone
- (937) 399-9500
- Fax
- (937) 342-4242
- NPI assigned
- Nov 22, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1501108 | OH | |
| Clinical Social Worker | 1041C0700X | I.2002246 | OH | Primary |
Addresses
Primary practice location
474 N Yellow Springs St
Springfield, OH 45504-2463
Mailing address
474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1501108 | OH | MD | Social Worker |
| I.2002246 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1710491105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 N YELLOW SPRINGS ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042463",
"telephone_number": "937-399-9500",
"fax_number": "937-342-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 N YELLOW SPRINGS ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042463",
"telephone_number": "937-399-9500",
"fax_number": "937-342-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INSLEY",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-22",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1501108",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2002246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.