Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly A Mayberry, LSCSW

Individual provider Social Worker · NPI 1992069991

Kimberly A Mayberry, LSCSW is a Social Worker in Whiteman AFB, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2012.

Licensed in
KS, MO
In the registry since
2012
Specialties on file
4

Practice location Address checks out

331 Sijen Ave
Whiteman AFB, MO 65305-1269
Phone: (660) 687-3143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2017003630 (MO)
Social Worker Taxonomy 104100000X · Licence 8459 (KS)
Social Worker Taxonomy 104100000X · Licence 2016009943 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4620 (KS)

Record details

NPI number1992069991
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedJune 25, 2012
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

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