Individual provider Active NPI

Kimberly E Hyden, LCSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1295289031
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2233C Issued in AL
Practice address
129 E Park Cir
Birmingham, AL 35235-3000
Phone
(205) 836-7283
Fax
(208) 836-7824
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2233C AL Primary

Addresses

Primary practice location

129 E Park Cir
Birmingham, AL 35235-3000

Mailing address

129 E Park Cir
Birmingham, AL 35235-3000
Phone (205) 836-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20160906001752 AL Practitioner - Clinical Social Worker 6507152279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Mental Health Center IncGroup PAC ID 3577524362, 9 clinicians

Practice addresses (Care Compare)

129 E Park Cir
Birmingham, AL 35235-3000
Phone (205) 836-7283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Mental Health Center Inc CurrentSince Sep 14, 2016 Accepting new patients
Eastside Mental Health Center Past Accepting new patients

Locations

129 E Park Cir
Birmingham, AL 35235
Phone (205) 836-7283

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.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1295289031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "208-836-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "208-836-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDEN",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2233C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.