Kelly Poston Mims, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C005559 Issued in NC

Practice address

4175 S Alamo Ave
Tucson, AZ 85707-4402

Phone

(520) 228-2615

NPI assigned

Oct 26, 2007

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1881873867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857074402",
            "telephone_number": "520-228-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857074402",
            "telephone_number": "520-228-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "KELLY",
        "middle_name": "POSTON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C005559",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Mills, MC/MFT,LPC,EMDR2
• Vanessa Mills, LPC
• Erin J Millstone, LPC
• Debra G Milner, RN, LCSW
• Linda Sue Milositz, ARNP
• Alice A Min Simpkins, MD
• Damon Min, M.D.
• Dirk Lee Minatre, PHARM.D.
• Michael Robert Minckler, M.D.
• Justin Mincy, PT

• Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.