Active NPI
Kimbra A Chase, LMSW
- Social Worker
- Jamestown, NY
National Provider Identifier
1114282811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00066294
- Practice address
- 560 W 3Rd St
Suite 17
Jamestown, NY 14701-4776 - Phone
- (716) 484-9188
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00066294 | NY | Primary |
Addresses
Primary practice location
560 W 3Rd St
Suite 17
Jamestown, NY 14701-4776
Mailing address
741 Delaware Ave
Buffalo, NY 14209-2201
Phone (716) 218-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00066294 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Buffalo | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1962596718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1114282811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092201",
"telephone_number": "716-218-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W 3RD ST",
"address_2": "SUITE 17",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147014776",
"telephone_number": "716-484-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "KIMBRA",
"middle_name": "A",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "00066294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NY
- Megan Chappel, OTR/L
- Charles E Sinatra DDS
- Charles W Mistretta, DPM, PC
- Laurie A Charles, LCSW
- Jeffrey Chase, RN
- Monir Chaudhry, M.D.
- Chautauqua Adult Day Care Centers, Inc
- Chautauqua Area Regional Transit System
- Chautauqua Blind Association
- Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.