Active NPI
Kimberly R Welsh, MSW, LCSW
- Clinical Social Worker
- Knox, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006267A
- Practice address
- 104 E Culver Rd Ste 106
Knox, IN 46534-2241 - Phone
- (574) 772-7400
- Fax
- (574) 772-0299
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006267A | IN | Primary |
Addresses
Primary practice location
104 E Culver Rd Ste 106
Knox, IN 46534-2241
Mailing address
104 E Culver Rd Ste 106
Knox, IN 46534-2241
Phone (574) 772-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Sturdy Rd
Valparaiso, IN 46383-4126
Phone 21946271732226
104 E Culver Rd
Healthlinc Knox
Knox, IN 46534-2204
Phone (574) 772-7400
1600 Roosevelt Rd
Valparaiso, IN 46383-3738
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383-2520
Phone (219) 413-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthlinc, Inc | Current | Accepting new patients | |
| Greenhouse and Associates Inc. | Past | Accepting new patients |
Locations
104 E Culver Rd
Ste 106
Knox, IN 46534
Phone (574) 772-7400
104 E Culver Rd
Knox, IN 46534
Phone (574) 772-7400
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
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.
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Federally Qualified Health Center (FQHC)
- Knox, IN
- NPI 1801063268
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1114237336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1275918476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E CULVER RD STE 106",
"city": "KNOX",
"state": "IN",
"postal_code": "465342241",
"telephone_number": "574-772-7400",
"fax_number": "574-772-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E CULVER RD STE 106",
"city": "KNOX",
"state": "IN",
"postal_code": "465342241",
"telephone_number": "574-772-7400",
"fax_number": "574-772-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSH",
"first_name": "KIMBERLY",
"middle_name": "R",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006267A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knox, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.