Kimberly Garrison, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12055 Issued in MD

Practice address

2923 Olney Sandy Spring Rd Ste a&B
Olney, MD 20832-1528

Phone

(301) 466-9195

NPI assigned

Apr 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Kimberly Garrison, LCSW-C, LLC

  • Adult Mental Health Clinic/Center
  • Olney, MD
  • NPI 1437813235

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1053537563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 OLNEY SANDY SPRING RD STE A&B",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321528",
            "telephone_number": "301-466-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 OLNEY SANDY SPRING RD STE A&B",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321528",
            "telephone_number": "301-466-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "KIMBERLY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "611486942",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Fury, MS, CNS, LDN
• Fusa Behavioral Health Inc
• Karen Gallagher, O.T.R./L/,C.H.T.
• Robert A Gallino, M.D.
• Lisa Renee Garcia, LCSW-C
• Jennifer M Gauthier, LGSW
• Madeline Gears
• Elizabeth Gebreyohanes
• Tewabech Getnet Gedafie, CRNP
• Carole Gelbaugh, M.A., CCC-SLP

• Clinical Social Worker in Olney, MD
• Providers in Olney, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.