{"npi":"1316646128","type":"NPI-1","status":"active","name":{"display":"Kimbell Waters LCSW","other":[],"first":"KIMBELL","last":"WATERS","middle":"BINGHAM","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"MS","license":"C8725"}]},"addresses":[{"purpose":"LOCATION","street_1":"1036 MANSHIP ST","city":"JACKSON","state":"MS","postal_code":"392022132","country_code":"US","phone":"6015337017"},{"purpose":"MAILING","street_1":"1036 MANSHIP ST","city":"JACKSON","state":"MS","postal_code":"392022132","country_code":"US","phone":"6015337017"}],"license":{"state":"MS","number":"C8725"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230405002651","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MS","pac_id":"6204201262"}]},"enumeration_date":"2023-03-01","last_updated":"2025-01-22","_meta":{"source":"NPPES","snapshot_date":"2025-01-22","doc_url":"https://findmynpi.com/api"}}