MRS. KIMBERLY CROCKER PEARSALL LCSW
NPI 1962797001
Social Worker - Clinical in Lakeland, FL

Active since June 16, 2011
5130 S FLORIDA AVE, #408, LAKELAND, FL 33813(863) 648-0313(863) 648-0335 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kimberly Crocker Pearsall Lcsw NPPES

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

MRS. KIMBERLY CROCKER PEARSALL LCSW (NPI 1962797001) is an individual clinical provider in Lakeland, Florida, licensed in Florida (SW9029) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1962797001
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KIMBERLY CROCKER PEARSALLCredential: LCSW
Location Address5130 S FLORIDA AVE, #408Lakeland, FL 33813-2537
Mailing Address5130 S Florida Ave, #408Lakeland, FL 33813-2537 · (863) 648-0313 · Fax (863) 648-0335
Fax(863) 648-0335
Sole ProprietorYes
Enumeration DateJune 16, 2011
NPI 1962797001 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 FL · SW9029
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.

5130 S FLORIDA AVE, Lakeland, FL 33813

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
5130 S FLORIDA AVE, SUITE 408
LAKELAND, FL 33813
Clinic/Center
5130 S FLORIDA AVE, SUITE 410
LAKELAND, FL 33813

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962797001, enumerated as an "individual" on June 16, 2011.

The provider is located at 5130 S FLORIDA AVE #408 LAKELAND, FL 33813 and the phone number is (863) 648-0313.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.