Individual provider Active NPI

Kimberly S Edwards, MSW

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1326239765
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000877 Issued in DE
Practice address
1400 Peoples PLZ
Suite 204
Newark, DE 19702-5707
Phone
(302) 832-1282
Fax
(302) 832-7313
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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 Q1-0000877 DE Primary

Addresses

Primary practice location

1400 Peoples PLZ
Suite 204
Newark, DE 19702-5707

Mailing address

1400 Peoples PLZ
Suite 204
Newark, DE 19702-5707
Phone (302) 832-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20171229001335 DE Practitioner - Clinical Social Worker 0547528291 Reassigns benefits to 1 organization
Practice locations: Newark, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Biddle Ave
Suite 123
Newark, DE 19702-3982
Phone (302) 533-8525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Inc Clinical CurrentSince Dec 1, 2017 Accepting new patients
Andrea Steckline LCSW PA Clinical PastSince Jan 28, 2024 Accepting new patients
Jean Brady, LCSW, P.a. Clinical PastSince Nov 21, 2021 Accepting new patients

Locations

1400 Peoples Plz
Ste 204
Newark, DE 19702
Phone (302) 832-1282

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1326239765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ",
            "address_2": "SUITE 204",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025707",
            "telephone_number": "302-832-1282",
            "fax_number": "302-832-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ",
            "address_2": "SUITE 204",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025707",
            "telephone_number": "302-832-1282",
            "fax_number": "302-832-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.