Individual provider Active NPI

Kimberly B. Rooks, LCSW

  • Clinical Social Worker
  • Flowood, MS
National Provider Identifier
1134546559
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C2635 Issued in MS
Practice address
232 Market St BLDG K
Flowood, MS 39232-3339
Phone
(601) 953-1282
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 C2635 MS Primary

Addresses

Primary practice location

232 Market St BLDG K
Flowood, MS 39232-3339

Mailing address

PO Box 4478
Brandon, MS 39047-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20151205000231 MS Practitioner - Clinical Social Worker 8123328697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

232 Market St
BLDG K204
Flowood, MS 39232-3339
Phone (601) 953-1232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2635MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Work Consulting, LLC CurrentSince Aug 11, 2004 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince May 1, 2018 Accepting new patients
MD Billing, LLC CurrentSince Dec 1, 2015 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince May 1, 2018 Accepting new patients

Locations

557 Grants Ferry Rd
Brandon, MS 39047
Phone (601) 207-2017

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1134546559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4478",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390474441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST BLDG K",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "601-953-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKS",
        "first_name": "KIMBERLY",
        "middle_name": "B.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C2635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.