Active NPI
Kimberly Anne Foster, LCSW
- School Social Worker
- Bridgeport, CT
National Provider Identifier
1013167014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 180 Fairfield Ave
Bridgeport, CT 06604-4252 - Phone
- (201) 317-2065
- NPI assigned
- Sep 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006467 | CT | |
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
180 Fairfield Ave
Bridgeport, CT 06604-4252
Mailing address
3250 Fairfield Ave
Unit 321
Bridgeport, CT 06605-3267
Phone (201) 317-2065
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 |
|---|---|---|---|
| 006467 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1013167014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 FAIRFIELD AVE",
"address_2": "UNIT 321",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066053267",
"telephone_number": "201-317-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 FAIRFIELD AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044252",
"telephone_number": "201-317-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006467",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.