KIMBERLY WIMBERLY (LCSW) – Clinical Social Worker, NPI 1528219748

KIMBERLY WIMBERLY (LCSW) is a healthcare provider. based in Mobile, Alabama. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2079C (AL). The NPI Number for KIMBERLY WIMBERLY (LCSW) is 1528219748

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY WIMBERLY (LCSW)
NPI
1528219748
Phone
(251) 450-2250
Address
501 BISHOP LN N
Enumeration Date
7 October 2008
Last Update Date
16 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2513007134
Graduation Year
2004 (22 years ago)
PAC ID
2567521958
Group Practice PAC ID
5294022174
Professional Enrollment ID
I20081029000800
Address ID
AL366934310MO3737XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

390 CLINICAL SOCIAL WORKER in AL

Provider Addresses for KIMBERLY WIMBERLY (LCSW)

  • 501 BISHOP LN N

    MOBILE, AL 366085821

    Phone: (251) 450-2250

    Fax: (251) 342-2414

    Type: Location

  • 5750A SOUTHLAND DR

    MOBILE, AL 366933316

    Phone: (251) 662-7316

    Fax: (251) 662-7297

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081029000800IClinical Social WorkerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294022174View full group profile
NameSpecialtyState
P S Y C H I A T R YAL
Mental Health CounselorAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Clinical Social WorkerAL
Physician AssistantAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What identifier follows KIMBERLY WIMBERLY (LCSW) across health systems?
The NPI 1528219748 uniquely identifies KIMBERLY WIMBERLY (LCSW) in U.S. healthcare data.
Does the public listing show KIMBERLY WIMBERLY (LCSW) as active?
KIMBERLY WIMBERLY (LCSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits KIMBERLY WIMBERLY (LCSW)?
NPPES ties KIMBERLY WIMBERLY (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KIMBERLY WIMBERLY (LCSW)?
The directory associates KIMBERLY WIMBERLY (LCSW) with Mobile, Alabama. Check all listed addresses for suites or satellite offices.
Why is information missing for KIMBERLY WIMBERLY (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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