Mrs. Kimberly Jean Yazell, PHD, LCSW, LCAC, MSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1144238411

Mrs. Kimberly Jean Yazell, PHD, LCSW, LCAC, MSW is a Clinical Social Worker in Stover, Missouri. Qualified in 2022, 4 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying: 4
Licensed in: IN
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

PHD — Doctor of Philosophy: A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker: A social worker licensed to diagnose and treat mental health conditions independently.
MSW — Master of Social Work: The graduate degree in social work.

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Practice location Address checks out

3540 Durbin Rd
Stover, MO 65078-1890
Phone: (317) 828-6062

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

Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence 34005586A (IN)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X · Licence 87000490A (IN)

Record details

NPI number	1144238411
Entity type	Individual (Type 1)
Gender	Female
Credentials	PHD , LCSW , LCAC , MSW
Sole proprietor	Yes
NPI enumerated	August 3, 2006
Last updated in NPPES	July 23, 2025
Certification date	July 23, 2025

Medicare enrollment

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

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	2022 (4 years in practice)
Group practice	Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount