Individual provider Active NPI

Kimberly Flecken, LCSW

  • Clinical Social Worker
  • New Kensington, PA
National Provider Identifier
1013296979
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017003 Issued in PA
Practice address
301 Eleventh St
Suite C
New Kensington, PA 15068-6179
Phone
(724) 334-3640
Fax
(724) 334-3644
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 CW017003 PA Primary

Addresses

Primary practice location

301 Eleventh St
Suite C
New Kensington, PA 15068-6179

Mailing address

301 Eleventh St Ste C
New Kensington, PA 15068-6179
Phone (724) 334-3640

Other practice location 1

371 N Main St
Butler, PA 16001-4955
Phone (724) 355-1111

Other practice location 2

218 E Main St Ste 1
Worthington, PA 16262-2146
Phone (724) 355-1111

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
I20140506001732 PA Practitioner - Clinical Social Worker 1355574948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

371 N Main St
Butler, PA 16001-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017003PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Life LLC CurrentSince Aug 30, 2023 Accepting new patients

Locations

371 N Main St
Butler, PA 16001
Phone (724) 355-1111

218 E Main St
Ste 1
Worthington, PA 16262
Phone (724) 355-1111

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1013296979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELEVENTH ST STE C",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686179",
            "telephone_number": "724-334-3640",
            "fax_number": "724-334-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ELEVENTH ST",
            "address_2": "SUITE C",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686179",
            "telephone_number": "724-334-3640",
            "fax_number": "724-334-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 N Main St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014955",
            "country_code": "US",
            "telephone_number": "724-355-1111",
            "fax_number": "724-543-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "PA",
            "postal_code": "162622146",
            "country_code": "US",
            "telephone_number": "724-355-1111",
            "fax_number": "724-543-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLECKEN",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.