Kimberly B. McClelland, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2189 Issued in LA

Legal business name

KIMBERLY B. MCCLELLAND, LCSW

Practice address

820 Jordan St. Ste 510W
Shreveport, LA 71101

Phone

(318) 861-1090

Fax

(318) 606-2038

NPI assigned

May 18, 2018

Last updated

May 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Sizemore

Title

Office Manager

Phone

(318) 861-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Kimberly Bickham McClelland, LCSW

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1639115348
  NPD (past)
• Theresa Davidson Snow

  • Social Worker
  • Shreveport, LA
  • NPI 1841840311

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1871083485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 510W",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-861-1090",
            "fax_number": "318-606-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST. STE 510W",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-861-1090",
            "fax_number": "318-606-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY B. MCCLELLAND, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-861-1090"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2189",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dongsoo David Kim, DMD, MD
• Enoch Kim, MD
• Jennifer Kim, M.D.
• Mary T Kim, M.D.
• Su Hyun Kim
• Kimberly Burns MD & Willis-Knighton Medical Center
• Al NMN Kimble, MSW
• Ashlei Kimble
• Coretta Smith Kimble, M.A.
• Darrick Kinchen

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.