MR. MICHAEL DALE KIMMEL (NPI# 1508967985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508967985 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DALE KIMMEL |
| Credential | LCSW |
| Practice Address |
5100 Marlborough Dr San Diego CA 92116-2020 |
| Practice Telephone | 6195820771 |
| Practice Fax Number | 6195844697 |
| Mailing Telephone | 6195820771 |
| Mailing Fax Number | 6195844697 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW#20738 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700905171 | Michael Alan Kimmel | Chiropractor | 6642 Myrtle Ave, Glendale, NY 11385-7057 | 2007-03-28 |
| 1942397294 | Michael Lee Kimmel | Chiropractor | 349 Main St, Harleysville, PA 19438-2419 | 2006-10-06 |
| 1013443209 | Michael Kimmel | Pharmacist | 10 Industrial Ave, Chelmsford, MA 01824-3610 | 2017-05-07 |
| Street Address |
5100 MARLBOROUGH DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639185804 | Carol Robinson Angell | Counselor | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2006-07-31 |
| 1013437698 | Meaningful Life Psychology, Inc. | Psychologist | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2017-06-23 |
| 1134678717 | Anna Dowd | Marriage & Family Therapist | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2016-09-24 |
| 1356792626 | Achieve Your True Potential | Counselor | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2016-06-28 |
| 1295189660 | Heidi Kathleen Beckenbach Mcgann | Counselor | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2016-04-21 |
| 1376919118 | Edon Berkenstadt | Marriage & Family Therapist | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2015-08-17 |
| 1447599691 | Anne Katrin Gillespie | Psychologist | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2013-02-07 |
| 1740533298 | Louise Jacobus | Counselor | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2012-10-22 |
| 1780903336 | Lori Bays | Marriage & Family Therapist | 5100 Marlborough Dr, San Diego, CA 92116-2020 | 2010-05-21 |
| 1225356553 | Monica Huezo | Counselor | 5100 Marlborough Dr, Suite #103, San Diego, CA 92116-2020 | 2010-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| 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 |
|---|---|---|---|---|
| 1154920536 | Gillian Boyd | Social Worker | 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 | 2020-10-18 |
| 1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | Social Worker | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 |
| 1619580057 | Joseph Stephen Mcconico | Social Worker | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 |
| 1821600529 | David James Prince | Social Worker | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 |
| 1407467392 | Tyler Drew Willis | Social Worker | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 |
| 1174132575 | Sarah Greenstein | Social Worker | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 |
| 1730798190 | Joelle G Johnson | Social Worker | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 |
| 1881203503 | Micheaela Whaley | Social Worker | 4417 30th St Ste 112, San Diego, CA 92116-4284 | 2020-07-28 |
| 1033737812 | Clara Loginov | Social Worker | 6727 Mohawk St, San Diego, CA 92115-1642 | 2020-07-08 |
| 1780208553 | Ai-nhat Ngo | Social Worker | 9360 Activity Rd Ste B, San Diego, CA 92126-4410 | 2020-06-07 |
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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.