MRS. KIMBERLY SOUTHWORTH
NPI 1831635010
Social Worker - Clinical in Troy, NY

Active since January 12, 2017

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Southworth NPPES

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

MRS. KIMBERLY SOUTHWORTH (NPI 1831635010) is an individual clinical provider in Troy, New York, licensed in New York (72 096257) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1831635010
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KIMBERLY SOUTHWORTH
Location Address1801 6TH AVETroy, NY 12180-3478
Mailing Address6632 Middle Grove RdMiddle Grove, NY 12850-2413 · (518) 424-4642
Sole ProprietorNo
Enumeration DateJanuary 12, 2017
NPI 1831635010 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 NY · 72 096257
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.
1801 6TH AVE, Troy, NY 12180

Other Names 1

Former Name (1)Kimberly Wall Lmsw

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1801 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
1801 6TH AVE
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
1801 6TH AVE
TROY, NY 12180
Counselor (Mental Health)
1801 6TH AVE
TROY, NY 12180
Social Worker
1801 6TH AVE
TROY, NY 12180
Counselor (Mental Health)
1801 6TH AVE, NORTHEAST HEALTH - CTS
TROY, NY 12180
Counselor (Addiction (Substance Use Disorder))
1801 6TH AVE
TROY, NY 12180
Registered Nurse
1801 6TH AVE
TROY, NY 12180

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 Southworth's NPI number?

The NPI number for Kimberly Southworth is 1831635010. It was assigned to this individual provider in the NPPES registry on January 12, 2017. The provider is also known as Kimberly Wall Lmsw.

Where is Kimberly Southworth located?

Kimberly Southworth practices at 1801 6th Ave, Troy, NY 12180. The listed phone number is (518) 545-0258.

What is Kimberly Southworth'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 Southworth was last updated on January 12, 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.