Individual provider Active NPI

Kimberly Hardin, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1013080969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013442 Issued in PA
Practice address
135 Cumberland Rd
Suite 208
Pittsburgh, PA 15237-5447
Phone
(412) 366-5114
Fax
(412) 366-8166
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW013442 PA Primary

Addresses

Primary practice location

135 Cumberland Rd
Suite 208
Pittsburgh, PA 15237-5447

Mailing address

135 Cumberland Rd
Suite 208
Pittsburgh, PA 15237-5447
Phone (412) 366-5114

Other identifiers 2

IdentifierTypeStateIssuer
550885OtherPAHIGHMARK
001945472MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001224 PA Practitioner - Clinical Social Worker 0244216158 Practice locations: Pittsburgh, PA; Allison Park, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013080969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CUMBERLAND RD",
            "address_2": "SUITE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375447",
            "telephone_number": "412-366-5114",
            "fax_number": "412-366-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CUMBERLAND RD",
            "address_2": "SUITE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375447",
            "telephone_number": "412-366-5114",
            "fax_number": "412-366-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "550885",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001945472",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.