KIMBERLY A MAYBERRY LSCSW
NPI 1992069991
Social Worker - Clinical in Whiteman Afb, MO

Active since June 25, 2012
331 SIJEN AVE, WHITEMAN AFB, MO 65305(660) 687-3143 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2024, Feb 15, 2017, Jan 19, 2017 (3 updates tracked since 2017).

About Kimberly A Mayberry Lscsw NPPES

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

KIMBERLY A MAYBERRY LSCSW (NPI 1992069991) is an individual clinical provider in Whiteman Afb, Missouri, licensed in Missouri (2017003630) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1992069991
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY A MAYBERRYCredential: LSCSW
Location Address331 SIJEN AVEWhiteman Afb, MO 65305-1269
Mailing Address331 Sijen AveWhiteman Afb, MO 65305-1269 · (660) 687-2150
Sole ProprietorNo
Enumeration DateJune 25, 2012
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1992069991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MO · 2017003630 Licensed in KS · 4620
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 8459 (KS), 2016009943 (MO)
331 SIJEN AVE, Whiteman Afb, MO 65305

Other Identifiers 2

Other2017003630MO · State Of Missouri Div Of Prof Registration State Committee For Social Workers
Other4620KS · State Of Kansas Behavioral Sciences Regulatory Board

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.

Psychiatry & Neurology (Psychiatry)
331 SIJEN AVE
WHITEMAN AFB, MO 65305
Emergency Medicine
331 SIJEN AVE
WHITEMAN AFB, MO 65305
Psychologist
331 SIJEN AVE
WHITEMAN AFB, MO 65305
Dietitian, Registered
331 SIJEN AVE
WHITEMAN AFB, MO 65305
Physician Assistant (Medical)
331 SIJEN AVE
WHITEMAN AIR FORCE BASE, MO 65305
General Practice
331 SIJEN AVE
WHITEMAN AFB, MO 65305
Physician Assistant
331 SIJEN AVE
WHITEMAN AFB, MO 65305
Military Health Care Provider (Independent Duty Medical Technicians)
331 SIJEN AVE
WHITEMAN AFB, MO 65305

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 Mayberry's NPI number?

The NPI number for Kimberly Mayberry is 1992069991. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Kimberly Mayberry located?

Kimberly Mayberry practices at 331 Sijen Ave, Whiteman Afb, MO 65305. The listed phone number is (660) 687-3143.

What is Kimberly Mayberry'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 Mayberry was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.