KIMBERLY ANN HAVILAND (NPI# 1881805984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881805984 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN HAVILAND |
| Credential | LCSW, CDCI, ADMIN. |
| Practice Address |
11312 Kenai Spur Hwy Suite 39 Kenai AK 99611-7754 |
| Practice Telephone | 9073954106 |
| Practice Fax Number | 9072834236 |
| Mailing Telephone | 9073954106 |
| Mailing Fax Number | 9072834236 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2432 | AK | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
864 | AK | Behavioral Health & Social Service Providers |
| Street Address |
11312 KENAI SPUR HWY SUITE 39 |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528351228 | Evan Kuuipo Tumbaga | Case Management | 11312 Kenai Spur Hwy, Suite 63, Kenai, AK 99611-7754 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| 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 |
|---|---|---|---|---|
| 1518005172 | Erys Katherine Tea | Social Worker | 215 Fidalgo Avenue, Suite 204 C, Kenai, AK 99611 | 2007-02-02 |
| 1134131048 | Michael J Wolfe | Social Worker | 110 N Willow St, Kenai, AK 99611-7701 | 2006-08-12 |
| 1972775617 | Terrya Elder | Social Worker | 320 S Spruce St, Kenai, AK 99611-7939 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1639796261 | Kacia Zuill | Social Worker | 981 N Tina Ln, Palmer, AK 99645-8953 | 2020-06-30 |
| 1801426515 | Leigh Ann White | Social Worker | 1 800 C-k Hwy, Suite #241, Craig, AK 99921 | 2020-01-22 |
| 1205473667 | Kathleen Frost | Social Worker | 2255 Slate Ct, North Pole, AK 99705-7593 | 2019-12-04 |
| 1760029391 | Nancy Lockwood | Social Worker | 731 E 8th Ave, Anchorage, AK 99501-3772 | 2019-12-02 |
| 1134763378 | Idris Usman | Social Worker | 786 D St., Jber-richardson, AK 99505 | 2019-10-31 |
| 1487298873 | Dan Bigley | Social Worker | 8531 Craiger Ct, Anchorage, AK 99507-3640 | 2019-10-29 |
| 1093356339 | Jordan Williams | Social Worker | 1503 Liatris Ln, North Pole, AK 99705-5082 | 2019-10-07 |
| 1851949630 | Elizabeth Green | Social Worker | 743 9th Ave, Fairbanks, AK 99701-4406 | 2019-08-26 |
| 1801443593 | Midnight Sun Counseling and Consulting, LLC | Social Worker | 9000 Glacier Hwy Ste 305, Juneau, AK 99801-8097 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
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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.