Individual provider Active NPI

Kimberly W Husch, LICSW

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1154386316
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00006538 Issued in WA
Practice address
918 E Mead Ave
Yakima, WA 98903-3720
Phone
(509) 453-1344
Fax
(509) 453-2209
NPI assigned
Apr 19, 2006
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 LW00006538 WA Primary

Addresses

Primary practice location

918 E Mead Ave
Yakima, WA 98903-3720

Mailing address

440 Lundberg Rd
Wapato, WA 98951-9013
Phone (509) 877-6233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060427000747 WA Practitioner - Clinical Social Worker 0749290245 Reassigns benefits to 1 organization
Practice locations: Zillah, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

513 1St Ave
Suite 93
Zillah, WA 98953-9432
Phone (509) 776-0072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00006538WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Oct 16, 2020 Accepting new patients

Locations

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

918 E Mead Ave
Yakima, WA 98903
Phone (509) 453-1344

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1154386316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 LUNDBERG RD",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989519013",
            "telephone_number": "509-877-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E MEAD AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989033720",
            "telephone_number": "509-453-1344",
            "fax_number": "509-453-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSCH",
        "first_name": "KIMBERLY",
        "middle_name": "W",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.