KIMBERLY ANN STEVENS (NPI# 1417100504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417100504 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN STEVENS |
| Other Name | KIMBERLY ANN GRUBAUGH |
| Credential | LCSW |
| Practice Address |
640 Pierce Blvd Ste 200 O Fallon IL 62269 |
| Mailing Address |
640 Pierce Blvd Ste 200 O Fallon IL 62269-2584 |
| Practice Telephone | 3142300640 |
| Mailing Telephone | 3142300640 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149014203 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103a South Pointe Drive, Edwardsville, IL 620253780 | 6186562000 | 6186561169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766999 | Kimberly Sue Stevens | Counselor | 12431 Popash Ct, North Fort Myers, FL 33903-4738 | 2020-03-24 |
| 1861974644 | Kimberly Stevens | Registered Nurse | 1886 Fm 1245 W, Groesbeck, TX 76642-2870 | 2018-08-29 |
| 1326529363 | Kimberly Stevens | Social Worker | 52 Roe Fields Dr, South Berwick, ME 03908-2162 | 2018-08-28 |
| 1033357900 | Kimberly Roberson Stevens | Occupational Therapist | 1285 Bear Grass Rd, Williamston, NC 27892-8333 | 2009-01-30 |
| 1235279381 | Kimberly Wood Stevens | Optometrist | 649 Clinton Ave, Bridgeport, CT 06605-1711 | 2007-02-07 |
| 1235784372 | Kimberly Toby Stevens | Psychologist | 200 Retreat Ave, Hartford, CT 06114 | 2019-08-06 |
| 1346772241 | Kimberly Stevens | Counselor | 4841 Auto Center Way Ste 101, Bremerton, WA 98312-4388 | 2017-03-30 |
| 1093044158 | Kimberly M Stevens | Occupational Therapist | 8842 State Route 90 N, King Ferry, NY 13081 | 2009-12-18 |
| 1447497441 | Kimberly Rene Stevens | Dietitian, Registered | 701 S Health Pkwy, Medical Staff Office, Three Rivers, MI 49093-8352 | 2009-01-13 |
| 1801095591 | Kimberly Susanne Stevens | Physical Therapist | 2431 E Wabash St, Frankfort, IN 46041-9400 | 2007-07-13 |
| Street Address |
640 PIERCE BLVD STE 200 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009991 | Trifecta Counseling LLC | Social Worker | 640 Pierce Blvd Ste 200, O Fallon, IL 62269-2584 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1750994620 | Danielle Marie Harper | Social Worker | 210 Thorn Brook Dr, O Fallon, MO 63366-4975 | 2020-08-28 |
| 1720698236 | Gina S Roppa | Social Worker | 1 Baldridge Ct, O Fallon, MO 63368-8233 | 2020-08-09 |
| 1194342170 | Renata B Sledge | Social Worker | 1329 Pepperidge Dr, O Fallon, IL 62269-3041 | 2020-06-25 |
| 1417596156 | Jessica Beasley Gunther | Social Worker | 201 S Hilgard St, O Fallon, IL 62269-2113 | 2019-12-28 |
| 1699250043 | Bethany Besand | Social Worker | 7425 Heathermoor Ln, O Fallon, MO 63368-7232 | 2018-10-02 |
| 1508306622 | Katie Kessler | Social Worker | 1100 Rock Creek Elementary School Dr, O Fallon, MO 63366-7577 | 2017-03-08 |
| 1659723591 | Amy Vallem | Social Worker | 8 Eagle Ctr Ste 15, O Fallon, IL 62269-1947 | 2016-07-03 |
| 1992174759 | Sandhill Counseling and Consultation, LLC | Social Worker | 801 Woodlawn Ave Ste 15, O Fallon, MO 63366-7647 | 2015-09-22 |
| 1033507652 | Rachel Salazar | Social Worker | 209 Woodland Ct, O Fallon, IL 62269-3500 | 2015-01-05 |
| 1518360171 | Amanda R Lewis | Social Worker | 1405 N Green Mount Rd Ste 230, O Fallon, IL 62269-3494 | 2014-09-26 |
| Find all providers in O FALLON | ||||
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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.