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Kim A. Ross , LCSW

Social Worker β€’ Winter Haven, FL

Active NPI 1962548453 Individual Practitioner Female Practitioner
Practice location in NPPES

1201 1st St S
Winter Haven, FL 338803904

Call 8632947062 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1201 1st St S

Winter Haven, FL 338803904

Telephone 8632947062
Fax 8632947064
Organization at the Same NPPES Address or Phone
Winter Haven Hospital Inc Facility NPI 1194498766

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Winter Haven and Florida

8 active clinicians are listed under Social Worker with a practice address in Winter Haven, FL (5,486 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES FL SW0004580

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Sheryl Carney , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1437297306

Advanced Registered Nurse Practitioner

Canisha Gillon , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063981892

Psychiatric-Mental Health Nurse Practitioner

Dr. Kimberly Hartney , MD

Psychiatry & Neurology - Psychiatry

NPI 1245401280

Doctor of Medicine (M.D.)

Dr. Amanda Humphries , MD

Psychiatry & Neurology - Psychiatry

NPI 1245684422

Doctor of Medicine (M.D.)

Maribel Luna

Nurse Practitioner - Psychiatric/Mental Health

NPI 1790545283
Natalie Moody , FPMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1740563543

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active April 07, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 07, 2017

Registered at 1201 1ST ST S, WINTER HAVEN, FL 338803904 (Tel: 8632947062)

πŸ“
Updated Business Mailing Address April 07, 2017

Registered at PO BOX 10744, CLEARWATER, FL 337578744 (Tel: 7275321355)

πŸ‘€
Provider Name / Credentials Updated April 07, 2017

Recorded as KIM ROSS, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2017

Social Worker (license number reported to NPPES: FL SW0004580)

βœ…
NPI Profile Active April 03, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 03, 2012

Registered at 200 AVENUE F, N.W., WINTERHAVEN, FL 338813310 (Tel: 8632947056)

πŸ“
Business Mailing Address (Initial Record) April 03, 2012

Registered at 1201 1ST ST S, WINTER HAVEN, FL 338803904 (Tel: 8632947056)

πŸ‘€
Provider Name / Credentials (Initial Record) April 03, 2012

Recorded as KIM ROSS, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2012

Social Worker (license number reported to NPPES: FL SW0004580)

🟒
Initial NPI Registration & Enumeration January 30, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962548453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: April 07, 2017
Sole Proprietor: No

Mailing Address

Po Box 10744

Clearwater, FL 337578744

Phone: 7275321355

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.