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KIMBERLY P SUMMERVILLE LCSW
NPI 1013720390
Social Worker - Clinical in Fort Worth, TX

Active since January 30, 2025
8811 CREEK RUN RD APT 101, FORT WORTH, TX 76120(214) 354-1598 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly P Summerville Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY P SUMMERVILLE LCSW (NPI 1013720390) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (62386) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1013720390
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY P SUMMERVILLECredential: LCSW
Location Address8811 CREEK RUN RD APT 101Fort Worth, TX 76120-3974
Mailing Address8811 Creek Run Rd Apt 101Fort Worth, TX 76120-3974 · (214) 354-1598
Phone(214) 354-1598
Sole ProprietorYes
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1013720390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 62386
Definition
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.
8811 CREEK RUN RD APT 101, Fort Worth, TX 76120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Summerville's NPI number?

The NPI number for Kimberly Summerville is 1013720390. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Kimberly Summerville located?

Kimberly Summerville practices at 8811 Creek Run Rd Apt 101, Fort Worth, TX 76120. The listed phone number is (214) 354-1598.

What is Kimberly Summerville's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kimberly Summerville accept?

Health plans from Blue Cross and Blue Shield of Texas list Kimberly Summerville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Summerville was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.