Active NPI
Kimberly Lorene Lester, MSW, LICSW
- Clinical Social Worker
- West St Paul, MN
National Provider Identifier
1871877175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15059
- Practice address
- 149 Thompson Ave E Ste 150
West St Paul, MN 55118-3238 - Phone
- (651) 450-0860
- Fax
- (651) 450-0759
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 15059 | MN | Primary |
Addresses
Primary practice location
149 Thompson Ave E Ste 150
West St Paul, MN 55118-3238
Mailing address
4240 Park Glen Rd
St Louis Park, MN 55416-5427
Phone (612) 925-6033
Other practice location 1
1 Veterans Dr
Building 77
Minneapolis, MN 55417-2309
Phone (612) 629-7636
Other practice location 2
19461 Holt Ct
Lakeville, MN 55044-4802
Phone (952) 465-8958
Other practice location 3
101 5th St E # 102
Northfield, MN 55057-2067
Phone (952) 465-8958
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15059 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1871877175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 PARK GLEN RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165427",
"telephone_number": "612-925-6033",
"fax_number": "612-925-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 THOMPSON AVE E STE 150",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551183238",
"telephone_number": "651-450-0860",
"fax_number": "651-450-0759"
}
],
"practiceLocations": [
{
"address_1": "1 Veterans Dr",
"address_2": "Building 77",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554172309",
"country_code": "US",
"telephone_number": "612-629-7636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19461 Holt Ct",
"address_purpose": "LOCATION",
"city": "Lakeville",
"state": "MN",
"postal_code": "550444802",
"country_code": "US",
"telephone_number": "952-465-8958",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 5th St E # 102",
"address_purpose": "LOCATION",
"city": "Northfield",
"state": "MN",
"postal_code": "550572067",
"country_code": "US",
"telephone_number": "952-465-8958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESTER",
"first_name": "KIMBERLY",
"middle_name": "LORENE",
"name_prefix": "Mrs.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "15059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West St Paul, MN
- Matthew Larson, DPT
- Nicole Lynn Larson, DNP, APRN, PMHNP-BC
- Nicholas Lawson, M.D.
- Ruth M Lehman Wiens, MD
- Alice C Lehman, MS, RN, PMHCNS-BC
- Lifelong Dental Care
- Karina Lopez Martinez
- Lovingcare Nursing & Home Care Services, Inc.
- Luna Land Dental Corp. (CLD - West St. Paul)
- Peter Andrew Lynn, PH.D., L.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.