Individual provider Active NPI

Jennifer Marie Kimlingen, LCSW

  • Clinical Social Worker
  • Carlisle, PA
National Provider Identifier
1033634589
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023871 Issued in PA
Practice address
442 W Penn St
Carlisle, PA 17013-2234
Phone
(516) 395-9041
NPI assigned
Aug 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 094847 NY
Clinical Social Worker 1041C0700X CW023871 PA Primary

Addresses

Primary practice location

442 W Penn St
Carlisle, PA 17013-2234

Mailing address

442 W Penn St
Carlisle, PA 17013-2234
Phone (516) 395-9041

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
I20230914001672 PA Practitioner - Clinical Social Worker 6204290836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downtown Counseling Center LLCGroup PAC ID 6800167255, 7 clinicians

Practice addresses (Care Compare)

155 S Hanover St
Ofc
Carlisle, PA 17013-3453
Phone (717) 386-5971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094847NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Downtown Counseling Center LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

155 S Hanover St
Ofc
Carlisle, PA 17013
Phone (717) 386-5971

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

Organizations & group practices 2

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": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1033634589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W PENN ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132234",
            "telephone_number": "516-395-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W PENN ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132234",
            "telephone_number": "516-395-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMLINGEN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094847",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.