MEDICARE: KIMBERLY MICHELLE TRICKETT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	64621	TX

General Provider Information

NPI Number	:	1356087613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY MICHELLE TRICKETT LCSW

Provider Business Mailing Address
First Line	:	2603 LASALLE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-1146
Country	:	US
Telephone Number	:	817-896-2582
Fax Number	:

Provider Business Practice Location Address
First Line	:	2603 LASALLE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-1146
Country	:	US
Telephone Number	:	817-896-2582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	03/26/2024

Similar Medicare Providers

1598992919 — DR. KIMBERLY K HOOVERSON DO
Practice Location Address:

1146 FORT STEEET MALL
HONOLULU, HI
96813

Practice Phone: 808-940-3831
Practice Fax:

1356464671 — EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
Practice Location Address:

2520 FOREST CREEK DR
FT WORTH, TX
76123-1146

Practice Phone: 817-294-4015
Practice Fax:

1144817594 — ANTONELLA M BERGER ARNP
Practice Location Address:

8837 SEA CHASE DR
LAKE WORTH, FL
33467-1146

Practice Phone: 914-255-2880
Practice Fax:

1811219348 — PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Practice Location Address:

1150 RIVERSIDE DR
FORT WORTH, TX
76111-3614

Practice Phone: 817-834-9424
Practice Fax: 321-256-2966

1154217545 — AIDS HEALTHCARE FOUNDATION
Practice Location Address:

400 N BEACH ST STE 100
FORT WORTH, TX
76111-7070

Practice Phone: 817-916-5237
Practice Fax:

1346125549 — ERICA RENEE WALKER APRN
Practice Location Address:

1000 BONNIE BRAE AVE
FORT WORTH, TX
76111-4355

Practice Phone: 817-838-5433
Practice Fax:

Directions to “ KIMBERLY MICHELLE TRICKETT LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.