P Praxis·MD
● Active Type 1 · Individual

Kimberly Hines, LCSW

Social Worker·Moody Afb, GA· NPI 1245824440 · Enumerated 2021 · 5 years on NPI
Hines is 1 of 26 social worker providers in Moody Afb and 1 of 5654 in Georgia.
NPI age
5 years
Enumerated 2021-02-27
Primary specialty
Social Worker
Plus 2 subspecialties
Licensed in
FL, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-02Enumerated in NPPES
2021 2026

Where they practice

Practice location
3278 Mitchell Blvd
Moody Afb, GA 316991500
📞 2292572778
Mailing address
3287 Mitchell Blvd
Moody Afb, GA 316991500
📞 2292572778

Additional practice locations

1 secondary location on file with NPPES.

Location 2
7901 4th St N Ste 300
St Petersburg, FL 337024399
📞 8634205134

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    FL license #18666FL license #ISW13681GA license #CSW009282 taxonomy 1041C0700X

Identifiers

TypeValueNotes
01 (FL) 1366116873 MINDFULNESS EXPRESSIONS LLC
05 (FL) 114056400
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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