Active NPI
Kimberly Marie Morales, MSW
- Social Worker
- Kissimmee, FL
National Provider Identifier
1881079291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PSW964
- Practice address
- 111 E Monument Ave
Suite 401 Office 2
Kissimmee, FL 34741-5762 - Phone
- (407) 930-4711
- Fax
- (866) 255-1576
- NPI assigned
- Jul 27, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | PSW964 | FL | Primary |
Addresses
Primary practice location
111 E Monument Ave
Suite 401 Office 2
Kissimmee, FL 34741-5762
Mailing address
111 E Monument Ave
Suite 401 Office 2
Kissimmee, FL 34741-5762
Phone (407) 930-4711
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FL922013Z | Medicaid | FL | |
| 922013Z | Other | FL | WELLCARE |
| EAHCA020Z | Other | FL | AHCA |
| EAHCA790Z | Other | FL | MANAGED CARE HEALTH |
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 |
|---|---|---|---|
| PSW964 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1881079291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E MONUMENT AVE",
"address_2": "SUITE 401 OFFICE 2",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415762",
"telephone_number": "407-930-4711",
"fax_number": "866-255-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E MONUMENT AVE",
"address_2": "SUITE 401 OFFICE 2",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415762",
"telephone_number": "407-930-4711",
"fax_number": "866-255-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "PSW964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FL922013Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "922013Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "EAHCA020Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED CARE HEALTH",
"identifier": "EAHCA790Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.