Provider Demographics
NPI:1174819247
Name:ENGLISH, KIMBERLY MICHELINE (LCSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MICHELINE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 604
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37162-0604
Mailing Address - Country:US
Mailing Address - Phone:931-580-8080
Mailing Address - Fax:931-684-2788
Practice Address - Street 1:610 N BRITTAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-3402
Practice Address - Country:US
Practice Address - Phone:931-580-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN58641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical