Kimberley Claire Worthington, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008917 Issued in CT

Practice address

90 Grove St
Ridgefield, CT 06877-4114

Phone

(203) 560-9266

NPI assigned

Aug 7, 2018

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 CT

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Neurovation Center, LLCGroup PAC ID 2961762000, 3 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 and National Provider Directory roles.

• The Neurovation Center, LLC

  • Marriage & Family Therapist
  • Sandy Hook, CT
  • NPI 1932537297
  Medicare reassignment Care Compare group NPD
• Nu Bloom Counseling

  • Clinical Social Worker
  • Litchfield, CT
  • NPI 1518590736
  NPD Authorized official
• Western Connecticut Center for Neurofeedback and Counseling, LLC

  • Marriage & Family Therapist
  • Sandy Hook, CT
  • NPI 1821463829
  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1255810727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEA LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763064",
            "telephone_number": "120-356-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GROVE ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774114",
            "telephone_number": "203-560-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "KIMBERLEY",
        "middle_name": "CLAIRE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Doty O.D.
• Renate Williamson, OTR
• Andrea Marie Wimmers
• Victoria Lake Wolfe, LMSW
• Gregory Wooddell
• Emily Raebeck Wright, MS, CCC-SLP
• Kathleen Sa Younkins, LCSW
• Frank Stephen Zarkowsky, D.D.S.
• Noelle J Zeller, MSW, LCSW
• Lionel Znaty

• Clinical Social Worker in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.