Active NPI
Ronald Paul Kimbell, LCSW
- Clinical Social Worker
- Waco, TX
National Provider Identifier
1821279142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 38139
- Practice address
- 110 S 12TH St
Waco, TX 76701-1810 - Phone
- (254) 297-7124
- Fax
- (254) 756-3133
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 38139 | TX | Primary |
Addresses
Primary practice location
110 S 12TH St
Waco, TX 76701-1810
Mailing address
110 S 12TH St
Waco, TX 76701-1810
Phone (254) 297-7124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38139 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1821279142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S 12TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767011810",
"telephone_number": "254-297-7124",
"fax_number": "254-756-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 12TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767011810",
"telephone_number": "254-297-7124",
"fax_number": "254-756-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBELL",
"first_name": "RONALD",
"middle_name": "PAUL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "38139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.