Individual provider · Type 1 NPI

Kimberly Hines, LCSW

Clinical Social Worker · Moody Afb, GA

NPI number 1245824440 Active

Practice location

3278 Mitchell Blvd
Moody Afb, GA 31699-1500

Mailing address

3287 Mitchell Blvd
Moody Afb, GA 31699-1500

Other practice locations

  • 7901 4th St N Ste 300, St. Petersburg, FL 33702-4399 · (863) 420-5134

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XISW13681 (FL)
Clinical Social Worker Primary 1041C0700X18666 (FL)
Clinical Social Worker 1041C0700XCSW009282 (GA)

Clinical Social Worker: 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 interpers…

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About NPI 1245824440

Kimberly Hines, LCSW's National Provider Identifier is 1245824440, issued on Feb 27, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moody Afb, GA. The record was last updated on Nov 18, 2025.