Kimberly Foreman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007147 Issued in VA

Practice address

287 Independence Blvd
Pembroke 2, Ste. 219
Virginia Beach, VA 23462-2962

Phone

(757) 490-6960

NPI assigned

Aug 25, 2010

Last updated

May 1, 2018By the provider in NPPES

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 VA

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Wholehearted CounselingGroup PAC ID 5597011007, 10 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wholehearted Counseling

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1093202541
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1255647400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LORD DUNMORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645418",
            "telephone_number": "757-373-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 INDEPENDENCE BLVD",
            "address_2": "PEMBROKE 2, STE. 219",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622962",
            "telephone_number": "757-490-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Foreback
• Forefront Dermatology, S.C.
• Ruth M Forehand, NURSE PRACTITIONER
• Latoya Denise Foreman-Smith
• Breanna Foreman
• Joseph Forestiere, MD
• Natalie Bryan Foret, DPT
• Elizabeth Desiree Forgey Stafford
• Ayanna Forrest
• James Ernest Forrester, EDD

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.