Individual provider Active NPI

Kimberly Lane, MSW

  • Clinical Social Worker
  • Hyannis, MA
National Provider Identifier
1316270226
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113264 Issued in MA
Practice address
297 North St
Suite 327
Hyannis, MA 02601-5108
Phone
(508) 274-6823
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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 113264 MA Primary

Addresses

Primary practice location

297 North St
Suite 327
Hyannis, MA 02601-5108

Mailing address

PO Box 1290
North Falmouth, MA 02556-1290
Phone (508) 274-6823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060104000605 MA Practitioner - Clinical Social Worker 3072536119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gosnold, Inc.Group PAC ID 5991776627, 13 clinicians

Practice addresses (Care Compare)

1185 Falmouth Rd
Centerville, MA 02632-3066
Phone (508) 540-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113264MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Sep 4, 2017 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 16, 2025 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Sep 4, 2017 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

2 Jan Sebastian Dr
#100
Sandwich, MA 02563
Phone (508) 833-2639

Organizations & group practices 4

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1316270226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025561290",
            "telephone_number": "508-274-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 NORTH ST",
            "address_2": "SUITE 327",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015108",
            "telephone_number": "508-274-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KIMBERLY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.