Kimberly G Wenzsherrill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3482 Issued in KY

Practice address

329 Madison St
Paducah, KY 42001-0765

Phone

(270) 748-5638

Fax

(270) 499-7532

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Mental Wellness and Counseling

  • Community/Behavioral Health Agency
  • Paducah, KY
  • NPI 1013315837
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1780747774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MADISON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010765",
            "telephone_number": "270-748-5638",
            "fax_number": "270-499-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MADISON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010765",
            "telephone_number": "270-748-5638",
            "fax_number": "270-499-7532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4630 Village Square Dr",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420017502",
            "country_code": "US",
            "telephone_number": "270-777-4490",
            "fax_number": "866-824-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENZSHERRILL",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3482",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "3482",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100277890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellington Parc Health Systems, Inc. (Wellington Parc of Paducah)
• Douglas Dayne Wells, M.A., L.P.P.
• Wellsprings Institute, PLLC (WellSprings Dermatology)
• Deborah D Welsh, APRN
• Emily Ann Welshenbaugh
• West End Eye Care, LTD.
• West End Imaging, PLLC
• West Kentucky Anesthesia Associates
• West Kentucky Anesthesia LLC
• West Kentucky Gynecology Associates PLLC

• Clinical Social Worker in Paducah, KY
• Providers in Paducah, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.