Kimberly Louise Houston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103696 Issued in CA

Practice address

6509 Pallazzo Way
Elk Grove, CA 95757-3032

Phone

(916) 600-6569

NPI assigned

Jan 13, 2025

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

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1710797600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27821",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312217821",
            "telephone_number": "916-600-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 PALLAZZO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573032",
            "telephone_number": "916-600-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Greenview Ter",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312208784",
            "country_code": "US",
            "telephone_number": "916-600-6569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "KIMBERLY",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynne Horsley, RNFA
• Jon-Eric Hottinger, D.D.S.
• Tariq Houmran
• Shantell House
• Sarah Wolfe Houser, NP
• Christiane How-Volkman
• Jhamere Howard, BA
• John Harrison Howard III, M.D.
• Julia Howard
• Maxmillian Howard

• Clinical Social Worker in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.