Mary Lynette Kimble, SWT is a
Social Worker based in Beachwood, Ohio. Mary Lynette Kimble is licensed to practice in Ohio (license number S.2403415-TRNE) and her current practice location is
21625 Chagrin Blvd, Beachwood, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 343-8069.
NPI number for Mary Lynette Kimble is 1912760372 and her current mailing address is 5672 Vickie Ln, Bedford Hts, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912760372.
Healthcare Provider's Profile
Full Name | Mary Lynette Kimble |
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Gender | Female |
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Speciality | Social Worker |
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Location | 21625 Chagrin Blvd, Beachwood, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912760372
- Provider Enumeration Date: 01/30/2024
- Last Update Date: 01/30/2024
Medical Identifiers
Medical identifiers for Mary Lynette Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912760372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | S.2403415-TRNE (Ohio) | Secondary |
104100000X | Social Worker | S.2403415-TRNE (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Lynette Kimble is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Lynette Kimble, SWT 5672 Vickie Ln, Bedford Hts, OH 44146-2415 Ph: (216) 343-8069 | Mary Lynette Kimble, SWT 21625 Chagrin Blvd, Beachwood, OH 44122-5363 Ph: (216) 343-8069 |
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