Kimberly L Tambasco-Jankunas, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079547R Issued in NY

Practice address

172 Oak Leaf Cir
Gloversville, NY 12078-5835

Phone

(330) 416-0425

NPI assigned

May 10, 2007

Sex

Female

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

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

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.

• The Family Counseling Center of Fulton County Inc

  • Mental Health Counselor
  • Gloversville, NY
  • NPI 1164473831
  Medicare reassignment NPD
• Kimberly Jankunas LCSW PLLC

  • Mental Health Counselor
  • Gloversville, NY
  • NPI 1932703378
  NPD
• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1184839649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5982 RHODES RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404128",
            "telephone_number": "330-673-1347",
            "fax_number": "330-678-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 OAK LEAF CIR",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120785835",
            "telephone_number": "330-416-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBASCO-JANKUNAS",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079547R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula M Sutton, RN
• Meagan E Sweeney, MHC
• SWTS Transportation LLC
• Zainul-Abideen Syed, MD
• Haley Rose Szczepanik, FNP
• Jim Tamulaits, DC
• Julie Diane Tanner
• Rakhi Kumar Tantuwaya, RPH
• Gianna F Taylor
• Kathryn M Terry, RD

• Clinical Social Worker in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.