Individual provider Active NPI

Kymberly M Alvarado, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1194922609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000807 Issued in DE
Practice address
1213 Deleware Ave
Wilmington, DE 19806
Phone
(302) 652-3948
Fax
(302) 652-8297
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q10000807 DE Primary

Addresses

Primary practice location

1213 Deleware Ave
Wilmington, DE 19806

Mailing address

1213 Deleware Ave
Wilmington, DE 19806
Phone (302) 652-3948

Other names 1

  • Kymberly Media Alvarado Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20230314000772 DE Practitioner - Clinical Social Worker 4981078052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Counseling and Consulting Services LLCGroup PAC ID 6305219460, 6 clinicians

Practice addresses (Care Compare)

18464 Plantations Blvd
Lewes, DE 19958-4686
Phone (302) 455-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000807DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling and Consulting Services LLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
Courageous Hearts LLC Past Accepting new patients

Locations

18464 Plantations Blvd
Lewes, DE 19958
Phone (302) 455-8899

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194922609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 DELEWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-652-3948",
            "fax_number": "302-652-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 DELEWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-652-3948",
            "fax_number": "302-652-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "KYMBERLY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYMBERLY",
            "last_name": "MEDIA ALVARADO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.