Kim A Codding, LCSW, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2421 Issued in MT

Practice address

1304 Woodland Dr
Bozeman, MT 59718-2770

Phone

(406) 579-4285

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kim A Schumacher Former name

Medicare fee-for-service enrollment

Enrolled in OR, TX2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coquille Indian TribeGroup PAC ID 6002805330, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kim.codding.p2@direct.coquilletribe.nextgenshare.com

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.

• Coquille Indian Tribe

  • Clinic/Center
  • Coos Bay, OR
  • NPI 1376592287

  OR, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1326358607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 WOODLAND DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182770",
            "telephone_number": "406-579-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WOODLAND DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182770",
            "telephone_number": "406-579-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDING",
        "first_name": "KIM",
        "middle_name": "A",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1370",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "SCHUMACHER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clinical Laboratory Service
• Rebecka Clore Casto, LCPC
• Autumn R Clowes
• Cordelia Zurita Cluett, PA-C
• Jenna Coats, PCLC
• Rachel Coffin, MS, PCLC
• Emily Cohan, MS, LCPC
• Leslie Ann Cohen, MD
• Jesse Coil, DO
• Georgia K Cold, NATL BOARD CHT

• All providers in Bozeman, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.

Verify at the official NPI Registry.