MS. STACY LYNN KIMMINS
NPI 1518306745
Case Manager/Care Coordinator in Berkeley, CA

Active since June 20, 2013
2484 SHATTUCK AVE, BERKELEY, CA 94704(510) 704-7480 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Stacy Lynn Kimmins NPPES

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

MS. STACY LYNN KIMMINS (NPI 1518306745) is an individual case manager/care coordinator provider in Berkeley, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1518306745
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMS. STACY LYNN KIMMINS
Location Address2484 SHATTUCK AVEBerkeley, CA 94704-2076
Mailing Address2484 Shattuck Ave Ste 210Berkeley, CA 94704-2076 · (510) 704-7480
Sole ProprietorYes
Enumeration DateJune 20, 2013
NPI 1518306745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2484 SHATTUCK AVE, Berkeley, CA 94704

Other Providers at the Same Location NPPES 16

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

Social Worker
2484 SHATTUCK AVE, 210
BERKELEY, CA 94704
Community/Behavioral Health
2484 SHATTUCK AVE, 210
BERKELEY, CA 94704
Student in an Organized Health Care Education/Training Program
2484 SHATTUCK AVE, SUITE 210
BERKELEY, CA 94704
Counselor (Mental Health)
2484 SHATTUCK AVE, STE. 210
BERKELEY, CA 94704
Psychologist
2484 SHATTUCK AVE, STE 210
BERKELEY, CA 94704
Counselor
2484 SHATTUCK AVE, 210
BERKELEY, CA 94704
Social Worker (Clinical)
2484 SHATTUCK AVE, STE 210
BERKELEY, CA 94704
Counselor (Mental Health)
2484 SHATTUCK AVE, SUITE #210
BERKELEY, CA 94704

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 Stacy Kimmins's NPI number?

The NPI number for Stacy Kimmins is 1518306745. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Stacy Kimmins located?

Stacy Kimmins practices at 2484 Shattuck Ave, Berkeley, CA 94704. The listed phone number is (510) 704-7480.

What is Stacy Kimmins's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Stacy Kimmins was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.