Kimberly Ann Hall, LCSW/LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW0000008759 Issued in TN

Practice address

3798 Janes Rd Ste 20
Arcata, CA 95521

Phone

(707) 825-4963

Fax

(707) 826-8239

NPI assigned

Dec 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Hospital Management Corporation 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• American Hospital Management Corporation

  • Rural Health Clinic/Center
  • Arcata, CA
  • NPI 1609979707

  CA

  Medicare reassignment Care Compare group NPD
• American Hospital Management Corporation

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare group NPD
• Willow Creek - Six Rivers Medical Center

  • Rural Health Clinic/Center
  • Willow Creek, CA
  • NPI 1376570473
  NPD
• Humboldt Family Medical Care

  • Rural Health Clinic/Center
  • McKinleyville, CA
  • NPI 1447287347
  NPD (past)

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1013338698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 SPEAR AVE",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214833",
            "telephone_number": "707-845-4788",
            "fax_number": "707-826-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 20",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "95521",
            "telephone_number": "707-825-4963",
            "fax_number": "707-826-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LCSW/LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000008759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Hahn
• Jennifer Lynn Woolsey Hales, PAC
• Stephanie Haley, M.A., LMFT
• Brianne Hall, MS, LPCC
• Jennie Lyn Hall
• Rebecca Marie Hall, M.A., MFT
• Sommer A Halligan, CPM, LM
• Angela Halverson
• Trevor Hammons, MA PPSC
• Emilee Hansen

• All providers in Arcata, CA
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.