Individual provider · Type 1 NPI
Kimora McConnell, MSW
Developmental Therapist · Havana, FL
Practice location
90 Forest Rd
Havana, FL 32333-6505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | None listed |
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1194637652
Kimora McConnell, MSW's National Provider Identifier is 1194637652, issued on Sep 21, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Havana, FL. The record was last updated on Oct 7, 2026.