Organization Active NPI

Kimberlee Cain LCSW

Doing business as Kimberlee Cain LCSW LLC

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1790087310
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3858 Issued in FL
Legal business name
KIMBERLEE CAIN LCSW
Doing business as
Kimberlee Cain LCSW LLC
Practice address
1920 Palm Beach Lakes Blvd
Suite 102
West Palm Beach, FL 33409-3512
Phone
(561) 262-7979
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Kimberlee Cain, LCSWNPI 1871535856
Title
Manager
Phone
(561) 262-7979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3858 FL Primary

Addresses

Primary practice location

1920 Palm Beach Lakes Blvd
Suite 102
West Palm Beach, FL 33409-3512

Mailing address

221 33Rd CT
West Palm Beach, FL 33407-4911

Other names 1

  • Kimberlee Cain LCSW LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000616 FL Part B Supplier - Clinic/Group Practice 0547433948 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1790087310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 33RD CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093512",
            "telephone_number": "561-262-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLEE CAIN LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-262-7979",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberlee Cain LCSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.