S Kimberly Watford, LCWS, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9017 Issued in FL

Practice address

1030 E Lafayette St Ste 2
Tallahassee, FL 32301-4547

Phone

(850) 386-1560

Fax

(850) 386-1560

NPI assigned

Nov 16, 2007

Sex

Female

Sole proprietor

Yes

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 FL

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 1

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jim Alves

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1841840907
  NPD (past)
• Senior Psych Solutions Corp

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1225078629
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1891976924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6227",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323146227",
            "telephone_number": "850-386-1560",
            "fax_number": "850-386-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E LAFAYETTE ST STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014547",
            "telephone_number": "850-386-1560",
            "fax_number": "850-386-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATFORD",
        "first_name": "S",
        "middle_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LCWS, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Waters Kaklamanos, PH.D.
• Chrystal Waters, CRNA
• Lavonda Yvette Waters, MS
• Mary Waters, PHD
• Vanessa Lauren Waters, MS, CF-SLP
• Christina Watkins
• Regina Watkins, MS
• Zania Watkins
• Madison Watkivs
• Allison Watson Bubriski, M.S., CCC-SLP

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, 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 Oct 14, 2025; 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.