Kimberly Devine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11095 Issued in FL

Practice address

50 Leanni Way Unit C4
Palm Coast, FL 32137-4755

Phone

(386) 627-8156

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Get Off the Couch Counseling LLCGroup PAC ID 9032463062, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Get Off the Couch Counseling, LLC

  • Clinical Social Worker
  • Palm Coast, FL
  • NPI 1417430240
  Medicare reassignment Care Compare group NPD Authorized official
• Weeks Medical Center

  • Critical Access Hospital
  • Lancaster, NH
  • NPI 1265536718
  Medicare reassignment
• Weeks Medical Center

  • Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  Medicare reassignment
• Nurture From Within Counseling LLC

  • Clinical Social Worker
  • Palm Coast, FL
  • NPI 1811742216
  NPD
• Healthfirst Family Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Laconia, NH
  • NPI 1972203347
  NPD (past)
• The Lakes Region Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laconia, NH
  • NPI 1902994866
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1881962504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT C4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374755",
            "telephone_number": "386-627-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT C4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374755",
            "telephone_number": "386-627-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2561 Moody Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Flagler Beach",
            "state": "FL",
            "postal_code": "32136",
            "country_code": "US",
            "telephone_number": "386-627-8156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Specialists of North Florida LLC
• Dermatology Associates of Northeast Florida, PA
• Julia Desalvo
• Emany Jenesis Desinor
• Devindale Inc
• Kristina Lynn Devors, LCSW
• Nilesh Prakash Dialani, MD
• Dialysis Care Center of Palm Coast LLC
• Renata Dias de Oliveira, DDS
• Emma L Diaz

• Clinical Social Worker in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.