Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIMBERLY ANN CHURCHILL
NPI 1568384576
Social Worker - Clinical in Prior Lake, MN

Active since July 29, 2026
16154 MAIN AVE SE # 134, PRIOR LAKE, MN 55372(952) 447-3000 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Ann Churchill NPPES

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

KIMBERLY ANN CHURCHILL (NPI 1568384576) is an individual clinical provider in Prior Lake, Minnesota, licensed in Minnesota (13830) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1568384576
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY ANN CHURCHILL
Location Address16154 MAIN AVE SE # 134Prior Lake, MN 55372-4800
Mailing Address16209 Evanston Ave SePrior Lake, MN 55372-2596 · (612) 209-2796
Sole ProprietorYes
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 15, 2026
NPI 1568384576 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 MN · 13830
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.
16154 MAIN AVE SE # 134, Prior Lake, MN 55372

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 Churchill's NPI number?

The NPI number for Kimberly Churchill is 1568384576. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Kimberly Churchill located?

Kimberly Churchill practices at 16154 Main Ave SE # 134, Prior Lake, MN 55372. The listed phone number is (952) 447-3000.

What is Kimberly Churchill'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 Churchill was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.