Provider Demographics
NPI:1871979534
Name:KIMBREL, RACHEL MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:KIMBREL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:104 CONNORS PL
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-7634
Mailing Address - Country:US
Mailing Address - Phone:865-214-6383
Mailing Address - Fax:865-343-3705
Practice Address - Street 1:104 CONNORS PL
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-7634
Practice Address - Country:US
Practice Address - Phone:865-214-6383
Practice Address - Fax:865-343-3705
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040129501041C0700X
COCSW.099253991041C0700X
NCC0165291041C0700X
TN91861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical