Individual provider Active NPI

Rachel Marie Kimbrel, LCSW

  • Clinical Social Worker
  • Oak Ridge, TN
National Provider Identifier
1871979534
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9186 Issued in TN
Practice address
104 Connors PL
Oak Ridge, TN 37830-7634
Phone
(865) 214-6383
Fax
(865) 343-3705
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012950 VA
Clinical Social Worker 1041C0700X CSW.09925399 CO
Clinical Social Worker 1041C0700X C016529 NC
Clinical Social Worker 1041C0700X 9186 TN Primary

Addresses

Primary practice location

104 Connors PL
Oak Ridge, TN 37830-7634

Mailing address

104 Connors PL
Oak Ridge, TN 37830-7634
Phone (865) 214-6383

Other names 1

  • Rachel Marie Williams Former name

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

LicenseStateTypeSpecialty
CSW.09925399COMDClinical Social Worker
C016529NCMDClinical Social Worker
0904012950VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Minds Therapy Clinical CurrentSince Mar 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1871979534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CONNORS PL",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307634",
            "telephone_number": "865-214-6383",
            "fax_number": "865-343-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CONNORS PL",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307634",
            "telephone_number": "865-214-6383",
            "fax_number": "865-343-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBREL",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925399",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016529",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.