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

MS. Kimberly Shannon Byrne, LCSW, LADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831325828

MS. Kimberly Shannon Byrne, LCSW, LADAC is a Clinical Social Worker in Roswell, New Mexico. Qualified in 2005, 21 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
21
Licensed in
NM
In the registry since
2009
Specialties on file
2
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

400 N Pennsylvania Ave Ste 670C
Roswell, NM 88201-4755
Phone: (575) 623-7336
Fax: (575) 623-7337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10507 Quaker Ave Unit 203, Lubbock, TX 79424-8441 — (575) 623-7336

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-07345 (NM)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0086251 (NM)

Record details

NPI number1831325828
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LADAC
Sole proprietorNo
NPI enumeratedJune 3, 2009
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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