Stephen K Kimani, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000020A Issued in IN

Practice address

202 Joliet St
Suite 200 B
Dyer, IN 46311-1724

Phone

(219) 934-6410

Fax

(219) 934-6420

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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 IN, DC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monumental Behavioral Health IncGroup PAC ID 7416282611, 2 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.

• Monumental Behavioral Health Inc

  • Psychologist
  • Indianapolis, IN
  • NPI 1295205615
  Medicare reassignment Care Compare group NPD
• Access Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, MD
  • NPI 1053177725

  DC

  Medicare reassignment
• Acorn Addiction Centers LLC Dba Journey Road Treatment Centers

  • Addiction Medicine (Family Medicine) Physician
  • Indianapolis, IN
  • NPI 1467824698
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1023059078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 JOLIET ST",
            "address_2": "SUITE 200 B",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111724",
            "telephone_number": "219-934-6410",
            "fax_number": "219-934-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JOLIET ST",
            "address_2": "SUITE 200 B",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111724",
            "telephone_number": "219-934-6410",
            "fax_number": "219-934-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMANI",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000020A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amena Khazaran
• Marco N. Khiella, MD
• Kidanu Birhanu MD SC
• Nathan Henry Kies, OTD
• Stacey Lynn Killeen, M.A, CCC-SLP
• Angela Klukken, OT
• Heather Kmiecik, FNP-BC
• Kor Speech Therapy, LLC
• Robert Kovachevich, DO
• Catherine Kowalczyk, LCSW, LSSW

• Clinical Social Worker in Dyer, IN
• Providers in Dyer, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.