Organization Active NPI

Kimberly Francis, LLC

  • Clinical Social Worker
  • Southbury, CT
National Provider Identifier
1912392200
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8881 Issued in CT
Legal business name
KIMBERLY FRANCIS, LLC
Practice address
30 Poverty Rd
Suite B
Southbury, CT 06488-2254
Phone
(860) 946-3758
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Kimberly Francis, LCSWNPI 1851527196
Title
Psychotherapist
Phone
(860) 946-3758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 8881 CT Primary

Addresses

Primary practice location

30 Poverty Rd
Suite B
Southbury, CT 06488-2254

Mailing address

30 Poverty Rd
Suite B
Southbury, CT 06488-2254
Phone (860) 946-3758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606000262 CT Part B Supplier - Clinic/Group Practice 0749790020 Receives reassigned benefits from 1 practitioner
Practice locations: Southbury, CT

National Provider Directory

National Provider Directory

Locations

30 Poverty Rd
#B
Southbury, CT 06488
Phone (203) 586-6149

450 Heritage Rd
Ste 3E
Southbury, CT 06488
Phone (203) 272-9628

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1912392200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 POVERTY RD",
            "address_2": "SUITE B",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882254",
            "telephone_number": "860-946-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 POVERTY RD",
            "address_2": "SUITE B",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882254",
            "telephone_number": "860-946-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY FRANCIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "860-946-3758",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.