Active NPI
Kimberly Chanes
- Social Worker
- Bakersfield, CA
National Provider Identifier
1003457664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 661 Roberts LN Ste a
Bakersfield, CA 93308-4723 - Phone
- (661) 371-3360
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 116757 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | CA | Primary |
Addresses
Primary practice location
661 Roberts LN Ste a
Bakersfield, CA 93308-4723
Mailing address
661 Roberts LN Ste a
Bakersfield, CA 93308-4723
Phone (661) 371-3360
Other names 1
- Ms. Kimberly Chanez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116757 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Sierra Vista | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1003457664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 ROBERTS LN STE A",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933084723",
"telephone_number": "661-371-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 ROBERTS LN STE A",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933084723",
"telephone_number": "661-371-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANES",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "116757",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "CHANEZ",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.