Individual provider Active NPI

Kimberly Sibley, LCSW-C, LICSW

  • Clinical Social Worker
  • Frostburg, MD
National Provider Identifier
1174977011
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15831 Issued in MD
Practice address
16315 Harwood Dr SW
Frostburg, MD 21532-3530
Phone
(301) 707-7700
NPI assigned
Apr 18, 2016
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15831 MD Primary
Clinical Social Worker 1041C0700X DP00947654 WV

Addresses

Primary practice location

16315 Harwood Dr SW
Frostburg, MD 21532-3530

Mailing address

16315 Harwood Dr SW
Frostburg, MD 21532-3530
Phone (301) 707-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251222003864 MD Practitioner - Clinical Social Worker 6709371214 Reassigns benefits to 2 organizations
I20260206002600 DC Practitioner - Clinical Social Worker 6709371214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15831MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 12, 2025 Accepting new patients
Psych Associates of Maryland LLC Social Worker CurrentSince Feb 1, 2026 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (205) 593-7605

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone 4108236408104

Organizations & group practices 3

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1174977011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 HARWOOD DR SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215323530",
            "telephone_number": "301-707-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 HARWOOD DR SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215323530",
            "telephone_number": "301-707-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "KIMBERLY",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15831",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00947654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

Verify at the official NPI Registry.