SAMUEL ALEXANDER KIMEL (NPI# 1275620924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275620924 |
| Entity Type | Individual |
| Full Name | SAMUEL ALEXANDER KIMEL |
| Credential | LCSW |
| Practice Address |
526 W State Street Rockford IL 61101-1214 |
| Practice Telephone | 8159689300 |
| Practice Fax Number | 8159685314 |
| Mailing Telephone | 8159689300 |
| Mailing Fax Number | 8159685314 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
526 W STATE STREET |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063504744 | Delsie Bella Gavali | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101-1214 | 2006-09-29 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1578785432 | Richard L Jaconette | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1801018791 | Lynne Marie Pollock | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1841374949 | Wanda Hoover | Counselor | 526 W State Street, Janet Wattles Center, Rockford, IL 61101-1214 | 2006-10-25 |
| 1750461646 | Mitchell K Davenport | Counselor | 526 W State Street, Rockford, IL 61101-1214 | 2006-10-16 |
| 1427138312 | Elizabeth J Bartos | Counselor | 526 W State Street, Janet Wattles Center, Rockford, IL 61101-1214 | 2006-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1871668418 | Matrice Denise Williams | Social Worker | 2823 Glenwood Ave, Rkfd, IL 61101 | 2006-11-21 |
| 1093819245 | Elise Cadigan Koski | Social Worker | 2823 Glenwood Ave, Rockford, IL 61101 | 2006-09-09 |
| 1295723021 | Kamlesh P Ramchandani | Internal Medicine | 111 N Church St, Rockford, IL 61101-1001 | 2005-10-06 |
| 1447363221 | George Lazopoulos | Dentist | 111 N Church St, Rockford, IL 61101-1001 | 2006-08-16 |
| Find all providers in zip 61101 | ||||
| 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 |
|---|---|---|---|---|
| 1306444070 | Susan Glover | Social Worker | 65 S Main St Lowr Level, Rockford, MI 49341-1286 | 2020-10-14 |
| 1669085445 | Lorri Ann Romesberg | Social Worker | 5738 Dorado Ct Ne, Rockford, MI 49341-8335 | 2020-08-31 |
| 1063020246 | Samantha Lane | Social Worker | 5402 Applewood Close, Rockford, IL 61114-5490 | 2020-07-14 |
| 1518587872 | Laura Kathleen Lindell | Social Worker | 4003 Mila Ave, Rockford, IL 61101-5069 | 2020-04-16 |
| 1548895527 | Stephanie Syverson | Social Worker | 695 N Perryville Rd Ste 4, Rockford, IL 61107-6225 | 2020-03-10 |
| 1508497975 | Laurie Hadler | Social Worker | 740 Tulip Ln, Rockford, IL 61107-5828 | 2020-02-03 |
| 1538708243 | Nicole Elizabeth Rundall-royal | Social Worker | 1302 Thoren Ln, Rockford, IL 61107-2662 | 2019-12-27 |
| 1568006096 | Bridget Denise Mcknight | Social Worker | 5959 Forest Trail Dr, Rockford, IL 61109-6535 | 2019-10-28 |
| 1538716105 | Geiselhart Solution Focused Therapy, LLC | Social Worker | 4102 Will Ann Dr, Rockford, IL 61101-6047 | 2019-08-20 |
| 1548816184 | Amy Hultman | Social Worker | 4320 Spring Creek Rd Ste 9, Rockford, IL 61107-1157 | 2019-08-09 |
| Find all providers in ROCKFORD | ||||
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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.