Kimberly Ehly, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW 8174 Issued in FL

Practice address

2611 NW 51St PL
Fort Lauderdale, FL 33309-2923

Phone

(954) 646-1000

NPI assigned

Nov 17, 2013

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Sidney R Torres LMHC

  • Mental Health Counselor
  • Wilton Manors, FL
  • NPI 1609335876
  NPD (past)

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

{
    "created_epoch": "1384646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384646400000",
    "number": "1962832626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 NW 51ST PL",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092923",
            "telephone_number": "954-646-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NW 51ST PL",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092923",
            "telephone_number": "954-646-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLY",
        "first_name": "KIMBERLY",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-17",
        "last_updated": "2013-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 8174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleah Edwards
• Khadijah Nicole Edwards, COTA
• Edwin H Hamilton PA
• Brooke Effinger
• Parham Eftekhari, D.O.
• Leah Ehrlich
• Theresa Anne Eichinger, PA-C
• Lori Lenay Eickleberry, PH.D.
• Rachael Eickmeyer, MD
• Cynthia Eidelman, LMFT

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Nov 17, 2013; 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.