Active NPI
Daniel Scott Kimes, LCSW-C
- Social Worker
- Silver Spring, MD
National Provider Identifier
1235465923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15389
- Practice address
- 17003 Barn Ridge Dr
Silver Spring, MD 20906-1107 - Phone
- (301) 996-0809
- NPI assigned
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15389 | MD | Primary |
Addresses
Primary practice location
17003 Barn Ridge Dr
Silver Spring, MD 20906-1107
Mailing address
17003 Barn Ridge Dr
Silver Spring, MD 20906-1107
Phone (301) 996-0809
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Oak Therapy Center, Inc. | Past | Accepting new patients | |
| Jody Tabner Thayer LLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Bethesda, MD
- NPI 1871064535
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockville, MD
- NPI 1386620581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1235465923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17003 BARN RIDGE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061107",
"telephone_number": "301-996-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17003 BARN RIDGE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061107",
"telephone_number": "301-996-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMES",
"first_name": "DANIEL",
"middle_name": "SCOTT",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-30",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "15389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.