STACY KIMBROUGH
NPI 1609315563
Case Manager/Care Coordinator in West Deptford, NJ

Q: What is Stacy Kimbrough's NPI number?

The NPI number for Stacy Kimbrough is 1609315563. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Q: What is Stacy Kimbrough's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Kimbrough was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 13, 2017

701 W RED BANK AVE, WEST DEPTFORD, NJ 08096(347) 226-0247 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Stacy Kimbrough NPPES

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

STACY KIMBROUGH (NPI 1609315563) is an individual case manager/care coordinator provider in West Deptford, New Jersey, licensed in Pennsylvania (687697) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1609315563

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameSTACY KIMBROUGH

Location Address701 W RED BANK AVEWest Deptford, NJ 08096-4950

Mailing Address701 W Red Bank AveWest Deptford, NJ 08096-4950

Phone(347) 226-0247

Sole ProprietorYes

Enumeration DateFebruary 13, 2017

✔ NPI 1609315563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in PA · 687697

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.

701 W RED BANK AVE, West Deptford, NJ 08096

Open in Google Maps ↗

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 Kimbrough's NPI number?

The NPI number for Stacy Kimbrough is 1609315563. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Stacy Kimbrough located?

Stacy Kimbrough practices at 701 W Red Bank Ave, West Deptford, NJ 08096. The listed phone number is (347) 226-0247.

What is Stacy Kimbrough'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 Kimbrough was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.