Kimberly D Delcourt, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007827A Issued in IN

Practice address

509 W McKinley Ave
Ste 3
Mishawaka, IN 46545-5564

Phone

(574) 254-0229

Fax

(574) 254-0188

NPI assigned

Mar 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kimberly D Curtis Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Healing Your Journey Therapy, LLC

  • Clinical Social Worker
  • Mishawaka, IN
  • NPI 1285111278
  Medicare reassignment Authorized official
• Samaritan Family Health and Counseling Center, Inc.

  • Professional Counselor
  • South Bend, IN
  • NPI 1861721136
  Medicare reassignment NPD

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1285933812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W MCKINLEY AVE",
            "address_2": "STE 3",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455564",
            "telephone_number": "574-277-0274",
            "fax_number": "574-271-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W MCKINLEY AVE",
            "address_2": "STE 3",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455564",
            "telephone_number": "574-254-0229",
            "fax_number": "574-254-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCOURT",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007827A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CURTIS",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "KIMBERLY D. MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John M Decelles, M.D.
• Lindsey A. Decicco, PTA
• Kurtis Dejong, MD
• Del Pilar Medical & Urgent Care PC
• Arnold Del Pilar Jr., D.O.
• Kacy Denesuk, LCSW
• Denise Strzelecki LMHC LLC
• Lorrita Dennie
• Maria Christina Dennis, RPH
• Jennifer C. Denniston, PTA

• Clinical Social Worker in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.