Kimberlee Marie Culver, LCSW

Individual provider Active NPI Mental Health Counselor · Schoharie, NY

NPI 1073522934 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1073522934
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
043046 (NY)
Practice address
5060 Rte 30
Suite 2
Schoharie, NY 12157
Phone
(518) 295-8090
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5060 State Route 30 2
Schoharie, NY 12157-2915
Phone (518) 295-8090

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050706000095 NY Practitioner - Clinical Social Worker 1951346477 Practice locations: Schoharie, NY

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
043046NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 043046 NY Yes

Addresses

Primary practice location

5060 Rte 30
Suite 2
Schoharie, NY 12157

Mailing address

PO Box 664
Schoharie, NY 12157-0664
Phone (518) 295-8090

Other providers in Schoharie, NY

All providers in Schoharie, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.