Kimberlee R. Vanburch, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05462200 Issued in NJ

Practice address

1137 Avenue C
Bayonne, NJ 07002-3313

Phone

(201) 838-5326

Fax

(201) 339-3376

NPI assigned

Sep 14, 2011

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 NY

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, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Psychiatry Services of New York PC

  • Counseling Psychologist
  • Syracuse, NY
  • NPI 1013781871
  Medicare reassignment

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1033491261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WEBSTER AVE",
            "address_2": "SUITE 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071744",
            "telephone_number": "201-838-5326",
            "fax_number": "201-339-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023313",
            "telephone_number": "201-838-5326",
            "fax_number": "201-339-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBURCH",
        "first_name": "KIMBERLEE",
        "middle_name": "R.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05462200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urban Dental of Bayonne PC
• Urquhart Orthopedic Associates, PA
• Marc W Urquhart, M.D
• Jarred Uy, PHARMD
• Marissa Valeriano
• Sonika Vani, PHARMD
• Maryanne Elizabeth Vannote, LCSW, LFMT
• Jessica Vazquez, LPC
• Brandon Velazquez, MD
• Alex Velednitskiy, PT,DPT,CSCS

• Clinical Social Worker in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.