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

Kimberly A. Verdejo, LCSW

Individual provider Social Worker · NPI 1790731206

Kimberly A. Verdejo, LCSW is a Clinical Social Worker in Clarksville, Tennessee. Qualified in 1993, 33 years ago. Practices with Key Rehabilitation Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
33
Licensed in
TN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

915 Tiny Town Rd
Clarksville, TN 37042-7663
Phone: (931) 553-6981
Fax: (931) 553-6982
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LSW0000004048 (TN)

Record details

NPI number1790731206
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESNovember 30, 2011
Mailing address210 Quail Ridge Rd, Clarksville, TN 37042-7385

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Key Rehabilitation Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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