Kimberlee Ann Marcil-Wieleba, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1816 Issued in FL

Practice address

2770 Indian River Blvd
Suite 306
Vero Beach, FL 32960

Phone

(772) 299-3655

Fax

(772) 569-9303

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1801818778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD STE 326",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604299",
            "telephone_number": "772-299-3655",
            "fax_number": "772-569-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD",
            "address_2": "SUITE 306",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-299-3655",
            "fax_number": "772-569-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIL-WIELEBA",
        "first_name": "KIMBERLEE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc E Lieberman
• Marc E Lieberman MD LLC
• Alain Christopher Marcelin, MD
• Marchelle Hofeldt MD PA
• Marchioli Enterprises Inc.
• Damaris Maria Marcos, PHARMD, RPH
• Gabriel Edmundo Marcos
• Marcus Malone MD
• Marcus Malone, M.D., LLC
• Christy Mares

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, 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 27, 2018; 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.