Kimball Clinical Solutions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10074 Issued in FL

Legal business name

KIMBALL CLINICAL SOLUTIONS LLC

Practice address

324 W Bearss Ave
Suite B
Tampa, FL 33613-1228

Phone

(888) 899-7736

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Alison Kimball, LCSW

Title

Owner

Phone

(813) 803-0879

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1750795944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 W IVY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071524",
            "telephone_number": "813-766-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W BEARSS AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131228",
            "telephone_number": "888-899-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL CLINICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-803-0879",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004066100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D Kim, M. D.
• Sohee Kim
• Sung Soo Kim, PHARMD
• Timothy J Kim, M.D.
• Youngwan Kim, MD
• Amy L Kimball-Carpenter, MS, OTR/L
• Amanda Kimball
• Kimberly Acheson, Inc
• Kimberly Gray-White MD PA
• Alyssa Danielle Kimble, MD

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.