Kimberly Clark Winsor, LCSW, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05841 Issued in KS

Practice address

620 E 18TH St Ste 203
Kansas City, MO 64108-1513

Phone

(816) 366-5515

Fax

(816) 819-5873

NPI assigned

Apr 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Kimberly Clark Winsor Professional name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspire Connection LLC

  • Clinical Social Worker
  • Olathe, KS
  • NPI 1528771888
  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group KS, P.a.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Wichita, KS
  • NPI 1063282390
  Medicare reassignment NPD

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1184019499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12975 S HAGAN ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660628861",
            "telephone_number": "913-390-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 18TH ST STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081513",
            "telephone_number": "816-366-5515",
            "fax_number": "816-819-5873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12975 S Hagan St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660628861",
            "country_code": "US",
            "telephone_number": "913-709-0609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSOR",
        "first_name": "KIMBERLY",
        "middle_name": "CLARK",
        "name_prefix": "Ms.",
        "credential": "LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018006856",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10853",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WINSOR",
            "middle_name": "CLARK",
            "prefix": "MS.",
            "credential": "LCSW, LSCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kara Winnike
• Grace Winningham, MD
• Peter Winningham, M.D.,
• Joshua Winscott, RD
• Jessica Winslow, FNP
• Hunter Winstead, MD
• Janita Renee Winston
• Sara Elizabeth Winston, LPC
• Tayler Winston
• Terra D Winston, APRN, FNP-BC

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.