Individual provider Active NPI

Kimberly Wills-Rinaldi

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1093859019
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002360 Issued in CT
Practice address
13 Wolcott St
Waterbury, CT 06702-1727
Phone
(230) 596-9359
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 002360 CT Primary

Addresses

Primary practice location

13 Wolcott St
Waterbury, CT 06702-1727

Mailing address

13 Wolcott St
Waterbury, CT 06702-1727
Phone (203) 596-9359

Other practice location 1

900 Straits Tpke Ste C106
Middlebury, CT 06762-2865
Phone (203) 592-4718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110628000075 CT Practitioner - Clinical Social Worker 6800074543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Red Maple CT
Naugatuck, CT 06770-3654

226 Mill Hill Ave
Suite 3
Bridgeport, CT 06610-2895

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura J Nesta Bluebird Counseling PastSince Oct 30, 2022 Accepting new patients
Waterbury Hospital Past Accepting new patients
The Charlotte Hungerford Hospital Past Accepting new patients

Organizations & group practices 4

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1093859019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021727",
            "telephone_number": "203-596-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021727",
            "telephone_number": "230-596-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Straits Tpke Ste C106",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067622865",
            "country_code": "US",
            "telephone_number": "203-592-4718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLS-RINALDI",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.