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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: August 16, 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
Phone(863) 648-0313
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
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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.

PROFESSIONAL HEALING SERVICES LLC
Clinic/Center
5130 S FLORIDA AVE, SUITE 410
LAKELAND, FL 33813
Polk County (863) 937-8814
MRS. SHELLEY LURAY SCHNEIDER L.C.S.W.
Social Worker (Clinical)
5130 S FLORIDA AVE, SUITE 408
LAKELAND, FL 33813
Polk County (863) 648-0313

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 Pearsall's NPI number?

The NPI number for Kimberly Pearsall is 1962797001. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Kimberly Pearsall located?

Kimberly Pearsall practices at 5130 S Florida Ave #408, Lakeland, FL 33813. The listed phone number is (863) 648-0313.

What is Kimberly Pearsall'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 Pearsall was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.