MRS. GLORIA DENICE KIMBLE (NPI# 1669914776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669914776 |
| Entity Type | Individual |
| Full Name | MRS. GLORIA DENICE KIMBLE |
| Credential | MSW |
| Practice Address |
284 Executive Park Dr Concord NC 28025-1831 |
| Mailing Address |
803 Norland Ave Apt B Kannapolis NC 28083-9030 |
| Practice Telephone | 7049391100 |
| Mailing Telephone | 7047937632 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P010334 | NC | Behavioral Health & Social Service Providers |
| Street Address |
284 EXECUTIVE PARK DR |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030792 | Lacy Henry Miller | Nurse Practitioner | 284 Executive Park Dr, Concord, NC 28025-1831 | 2005-08-22 |
| 1326502204 | Tiffany Robinson Hooker | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2019-01-25 |
| 1710464961 | Christine Ann Still | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-20 |
| 1457838732 | Justine Mohre | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-19 |
| 1821598608 | Holly Hall Hatley | Licensed Practical Nurse | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-02-18 |
| 1063946432 | Lisa Crowder | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-04-12 |
| 1215474267 | Julia Bentley | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2017-01-30 |
| 1760929798 | Richard Moore | Counselor | 284 Executive Park Dr, Suite100, Concord, NC 28025-1894 | 2017-01-29 |
| 1760928352 | Latehia Cade | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-01-06 |
| 1811432818 | Tiffany Moss | Counselor | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2016-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1871190843 | Mary Cabarles | Social Worker | 2604 Vargas Ct, Concord, CA 94520-4630 | 2020-10-02 |
| 1619591765 | Nakalah Wilson | Social Worker | 2353 Concord Lake Rd, Concord, NC 28025-2877 | 2020-06-04 |
| 1821624511 | Cynthia G Tubbs | Social Worker | 8 Centre St # 2, Concord, NH 03301-6302 | 2020-03-13 |
| 1396370375 | Kathryn Starratt Licsw Pllc | Social Worker | 1 Tremont St Ofc 4, Concord, NH 03301-4465 | 2020-03-10 |
| 1720619703 | Stephen Patrick Hayes | Social Worker | 591 Sandringham Pl, Concord, NC 28025-3116 | 2020-01-29 |
| 1295377075 | Monica Jo Prestage | Social Worker | 4913 Hathwyck Ct Nw, Concord, NC 28027-4625 | 2019-10-12 |
| 1710529037 | Capital Valley Counseling Associates, LLC | Social Worker | 8 Centre St Ste 2, Concord, NH 03301-6302 | 2019-10-09 |
| 1497316558 | Maria Luk | Social Worker | 5503 Sun Cloud Ct, Concord, CA 94521-5012 | 2019-06-27 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| Find all providers in CONCORD | ||||
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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.