Individual provider Active NPI

Kimberley Mathias, LMSW

  • School Social Worker
  • Albany, NY
National Provider Identifier
1174982920
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
097049 Issued in NY
Practice address
401 New Karner Rd
Albany, NY 12205-3854
Phone
(518) 407-1130
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 097049 NY Primary

Addresses

Primary practice location

401 New Karner Rd
Albany, NY 12205-3854

Mailing address

2841 Thousand Acres Rd
Delanson, NY 12053-1917
Phone (518) 875-6141

Other practice location 1

2841 Thousand Acres Rd
Delanson, NY 12053-1917
Phone (518) 875-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220602001985 NY Practitioner - Clinical Social Worker 9133507197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097049NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberley Mathias, LCSW Current Accepting new patients
Valera Medical, P.C. CurrentSince Apr 1, 2022 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1174982920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 THOUSAND ACRES RD",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120531917",
            "telephone_number": "518-875-6141",
            "fax_number": "518-756-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053854",
            "telephone_number": "518-407-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 Thousand Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Delanson",
            "state": "NY",
            "postal_code": "120531917",
            "country_code": "US",
            "telephone_number": "518-875-6141",
            "fax_number": "518-756-6839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "KIMBERLEY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "097049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.