Kimberly K Charboneau, LCSW
Individual provider Active NPI Clinical Social Worker · Schoharie, NY
NPI 1093761900 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1093761900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R044142 (NY)
- Practice address
- 284 Main St
Suite 320
Schoharie, NY 12157-2118 - Phone
- (518) 295-8336
- Fax
- (518) 295-8724
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R044142 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R044142 | NY | Yes |
Addresses
Primary practice location
284 Main St
Suite 320
Schoharie, NY 12157-2118
Mailing address
197 Northampton Rd
Amsterdam, NY 12010-1726
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00555784 | Medicaid | NY |
Other providers in Schoharie, NY
- Bradley Ronald Bush
- Cathleen Buskey
- Amanda L Cain
- Nicole Camporese
- Julie Marie Capobianco
- Sarah Morey Collins
- Community Apothecary Inc
- Kimberlee Marie Culver
- Thomas J Daley
- Alexis Daniels
All providers in Schoharie, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.