Individual provider Active NPI

Kimberly Hauser, LISW-S

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1093148587
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0026328 Issued in OH
Practice address
4240 Hunt Rd
Blue Ash, OH 45242-6612
Phone
(513) 891-0650
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0026328 OH Primary

Addresses

Primary practice location

4240 Hunt Rd
Blue Ash, OH 45242-6612

Mailing address

533 Cochise CT
Wyoming, OH 45215-2519
Phone (513) 891-0650

Other names 1

  • Kimberly Braun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160415002134 OH Practitioner - Clinical Social Worker 6800194374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Feb 24, 2018 Accepting new patients

Locations

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

8806 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 755-1777

Interoperability endpoints

  • Direct secure messaging: pbc.kimberlyhauser@140097.advancedmd-direct.com

Organizations & group practices 1

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1093148587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 COCHISE CT",
            "city": "WYOMING",
            "state": "OH",
            "postal_code": "452152519",
            "telephone_number": "513-891-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 HUNT RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426612",
            "telephone_number": "513-891-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "KIMBERLY",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0026328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BRAUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.