Individual provider Active NPI

Kimberly Suzanne Naclerio, LCSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1184858078
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006290 Issued in CT
Practice address
3 Sylvan Rd S
Westport, CT 06880-4639
Phone
(203) 227-5246
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2009

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 006290 CT Primary
Clinical Social Worker 1041C0700X R056335 NY

Addresses

Primary practice location

3 Sylvan Rd S
Westport, CT 06880-4639

Mailing address

270 Marbledale Rd
Tuckahoe, NY 10707-1809
Phone (914) 793-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006290CTMDClinical Social Worker
R056335NYMDClinical Social Worker
056335NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County, Inc. Clinical PastSince Aug 13, 2007 Accepting new patients
Steven Blauner PLLC Clinical PastSince May 1, 2022 Accepting new patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1184858078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MARBLEDALE RD",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071809",
            "telephone_number": "914-793-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SYLVAN RD S",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804639",
            "telephone_number": "203-227-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACLERIO",
        "first_name": "KIMBERLY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006290",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.