Individual provider Active NPI

Kimberly Noon, LCSW

  • Clinical Social Worker
  • Drexel Hill, PA
National Provider Identifier
1003488941
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022316 Issued in PA
Practice address
535 Turner Ave
Drexel Hill, PA 19026-1421
Phone
(732) 272-7890
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW022316 PA Primary

Addresses

Primary practice location

535 Turner Ave
Drexel Hill, PA 19026-1421

Mailing address

2100 Keystone Ave Ste 404
Drexel Hill, PA 19026-1130
Phone (732) 272-7890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim@wholselftherapy.net

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

LicenseStateTypeSpecialty
CW022316PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1003488941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE STE 404",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261130",
            "telephone_number": "732-272-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 TURNER AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261421",
            "telephone_number": "732-272-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOON",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@wholselftherapy.net",
            "affiliation": "N",
            "address_1": "419 S 19th St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191461415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.