MRS. KIMBERLY BROOKE BENNETT LCSW
NPI 1275887440
Social Worker - Clinical in Douglas, GA

Active since November 09, 2012
1005 SHIRLEY AVE, DOUGLAS, GA 31533(912) 389-4188 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Brooke Bennett Lcsw NPPES

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

MRS. KIMBERLY BROOKE BENNETT LCSW (NPI 1275887440) is an individual clinical provider in Douglas, Georgia, licensed in Georgia (CSW005427) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1275887440
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KIMBERLY BROOKE BENNETTCredential: LCSW
Location Address1005 SHIRLEY AVEDouglas, GA 31533
Mailing Address1005 Shirley AveDouglas, GA 31533-2123 · (912) 389-4188
Sole ProprietorNo
Enumeration DateNovember 9, 2012
Last NPPES UpdateJune 3, 2015
NPI 1275887440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in GA · CSW005427
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 865 (GA)
Also ListedSocial WorkerTaxonomy 104100000X · License MSW005671 (GA)
1005 SHIRLEY AVE, Douglas, GA 31533

Other Names 1

Former Name (1)Ms. Kimberly Brooke Smith Lmsw

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1005 SHIRLEY AVE
DOUGLAS, GA 31533
Community/Behavioral Health
1005 SHIRLEY AVE
DOUGLAS, GA 31533
Marriage & Family Therapist
1005 SHIRLEY AVE
DOUGLAS, GA 31533

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 Bennett's NPI number?

The NPI number for Kimberly Bennett is 1275887440. It was assigned to this individual provider in the NPPES registry on November 9, 2012. The provider is also known as Ms. Kimberly Brooke Smith Lmsw.

Where is Kimberly Bennett located?

Kimberly Bennett practices at 1005 Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 389-4188.

What is Kimberly Bennett's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Bennett was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.