KIMBERLY C HOLUM (NPI# 1689912099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689912099 |
| Entity Type | Individual |
| Full Name | KIMBERLY C HOLUM |
| Credential | MSW, LSW, CADC |
| Practice Address |
526 W State St Rockford IL 61101-1214 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8159689300 |
| Mailing Telephone | 8153875600 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 150.012889 | IL | Behavioral Health & Social Service Providers |
| Street Address |
526 W STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558327544 | Janet Wattles Center | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2006-04-26 |
| 1992362685 | Swedishamerican Hospital | Family Medicine | 526 W State St, Rockford, IL 61101-1214 | 2019-05-29 |
| 1659793149 | Melissa Crowell | Social Worker | 526 W State St, Rockford, IL 61101-1214 | 2014-01-17 |
| 1699106468 | Rosecrance Inc | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2013-12-04 |
| 1518307131 | Leah Carol Spindler | Counselor | 526 W State St, Rockford, IL 61101-1214 | 2013-06-27 |
| 1104269695 | Brenda Hunt | Registered Nurse | 526 W State St, Rockford, IL 61101-1214 | 2013-04-15 |
| 1659612083 | James R. Wu | Licensed Practical Nurse | 526 W State St, Rockford, IL 61101-1214 | 2013-03-11 |
| 1518203074 | Kala Anders | Counselor | 526 W State St, Rockford, IL 61101-1214 | 2013-01-02 |
| 1508102062 | Deborah Finke | Counselor | 526 W State St, Rockford, IL 61101-1214 | 2013-01-02 |
| 1750625067 | Amy Wilkins | Counselor | 526 W State St, Rockford, IL 61101-1214 | 2012-11-27 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| Find all providers in zip 61101 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881249621 | Sonia Castaneda | Social Worker | 4920 E State St Ste B, Rockford, IL 61108-2272 | 2019-08-08 |
| 1386195436 | Sara Wassenaar | Social Worker | 10060 Wolven Ave Ne, Rockford, MI 49341-9118 | 2016-10-24 |
| 1447706296 | Andrea Tack | Social Worker | 3690 Laura Ln, Rockford, IL 61114-8179 | 2016-08-31 |
| 1588015606 | Chianta A. Jefferson | Social Worker | 335 Dawn Ave Apt 2, Rockford, IL 61107-5047 | 2016-06-30 |
| 1740635218 | Karin K Leden | Social Worker | 6653 Weaver Rd Ste 105, Rockford, IL 61114-8052 | 2016-05-03 |
| 1285000893 | Matthew Matheny | Social Worker | 514 1/2 Chestnut St, Rockford, IL 61102-2265 | 2015-08-18 |
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1912385568 | Elizabeth A Lawson | Social Worker | 4320 Spring Creek Rd Ste 16, Rockford, IL 61107-1157 | 2015-05-15 |
| 1396138350 | Jan Selander | Social Worker | 7294 Argus Dr, Rockford, IL 61107-5837 | 2015-03-13 |
| 1811266919 | Brian Klaung Msw Inc | Social Worker | 6975 Redansa Drive, Rockford, IL 61108-1201 | 2011-12-19 |
| 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.