KIMBERLY BERRY (NPI# 1164074118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164074118 |
| Entity Type | Individual |
| Full Name | KIMBERLY BERRY |
| Practice Address |
103 N 11th Ave Ste 239 St Charles IL 60174-2289 |
| Mailing Address |
3n730 Norris Ave West Chicago IL 60185-1136 |
| Practice Telephone | 2622905226 |
| Mailing Telephone | 6229052262 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149015088 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083003651 | Kimberly Berry | Occupational Therapy Assistant | 139 Sanford Ave, Catonsville, MD 21228-5140 | 2015-01-20 |
| 1720690571 | Kimberly Berry | Counselor | 4100 Spring Valley Rd Ste 515, Dallas, TX 75244-3629 | 2020-08-21 |
| 1124653548 | Kimberly Berry | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-03-05 |
| 1972912145 | Kimberly Berry | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-08-12 |
| 1285905224 | Kimberly Berry | Counselor | 5900 S Eastern Ave, 142, Commerce, CA 90040-4017 | 2012-01-23 |
| 1659608792 | Kimberly Berry | Social Worker | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2009-11-11 |
| 1528216777 | Kimberly Ann Berry | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2008-08-29 |
| 1275789158 | Kimberly Allison Berry | Counselor | 187 Belmont Dr, Dothan, AL 36305-6500 | 2008-08-12 |
| Street Address |
103 N 11TH AVE STE 239 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-2289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634490 | Stephanie Clorinda Stavropoulos | Social Worker | 3103 Easton Pl, St Charles, IL 60175-5610 | 2020-06-22 |
| 1407481963 | Amber L Kay | Social Worker | 1118 E Main St # 2a, St Charles, IL 60174-2260 | 2020-03-05 |
| 1245874205 | Addaline Johannah Stoll | Social Worker | 1815 Oak St, St Charles, IL 60174-3634 | 2019-11-03 |
| 1497399943 | Tiffany M Kasper | Social Worker | 2560 Foxfield Rd Ste 320, St Charles, IL 60174-5731 | 2019-10-28 |
| 1134775885 | Nancy R Krtek, Lcsw, Counseling and Consultation Pllc | Social Worker | 473 Dunham Rd Ste 216, St Charles, IL 60174-1423 | 2019-08-16 |
| 1073002556 | Susan Bernice Broderick | Social Worker | 40w222 Lafox Rd Ste P2b, St Charles, IL 60175-7625 | 2018-05-09 |
| 1760907109 | Celina Wollak | Social Worker | 1539 Independence Ave, St Charles, IL 60174-4461 | 2017-08-07 |
| 1013455385 | Jennifer Blandford | Social Worker | 303 N 2nd St Ste 21, Suite 21, St Charles, IL 60174-1804 | 2017-02-07 |
| 1760856819 | Heather O'hara | Social Worker | 34w948 Stanton Dr, St Charles, IL 60174-6784 | 2015-11-29 |
| 1619374733 | Patricia Lingo | Social Worker | 311 S 4th Ave, St Charles, IL 60174-2915 | 2014-12-04 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.