# KIMBERLY QUALLS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578929501
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | 5537C | AL | — |
| 1041C0700X | Clinical Social Worker | 6801115319 | MI | — |
| 1041C0700X | Clinical Social Worker | C8737 | MS | Yes |
| 1041C0700X | Clinical Social Worker | L15715 | OR | — |
| 1041C0700X | Clinical Social Worker | LCSW128600 | CA | — |
| 1041C0700X | Clinical Social Worker | LICSW1143706 | MA | — |
| 1041C0700X | Clinical Social Worker | SWI.LW.61587646 | WA | — |

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 09/01/2026