Harold P Kirby, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013613 Issued in PA

Practice address

112 Bala Ave
Bala Cynwyd, PA 19004-3025

Phone

(610) 667-6490

Fax

(610) 667-1744

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anxiety & Agoraphobia Treatment Center, PC

  • Clinical Psychologist
  • Bala Cynwyd, PA
  • NPI 1912015603
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164534632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043025",
            "telephone_number": "610-667-6490",
            "fax_number": "610-667-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043025",
            "telephone_number": "610-667-6490",
            "fax_number": "610-667-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "HAROLD",
        "middle_name": "P",
        "credential": "LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinderbuch US P C
• Kinetic Home Care, LLC
• King RX, LLC
• Adrian King
• Kingsbury Oral and Maxillofacial Surgery, PC
• Andrew Scott Kirschner, D.O.
• Jeremy Klapper, PT, DPT, MS
• Robert Bruce Kleiman, M.D.
• Lynn Michele Klein, M.D.
• Richard C Kleiner, DMD

• Clinical Social Worker in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.