Active NPI
Kimberly Kralicky, LICSW
- Clinical Social Worker
- Westerly, RI
National Provider Identifier
1336259407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01558
- Practice address
- 25 Wells St
The Westerly Hospital
Westerly, RI 02891-2922 - Phone
- (401) 348-3972
- Fax
- (401) 348-3436
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01558 | RI | Primary |
Addresses
Primary practice location
25 Wells St
The Westerly Hospital
Westerly, RI 02891-2922
Mailing address
25 Wells St
The Westerly Hospital
Westerly, RI 02891-2922
Phone (401) 348-3972
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271930 | Other | RI | BLUE CROSS BLUE SHIELD |
| 411723 | Other | RI | BLUECHIP |
| 6299601 | Other | RI | UNITED BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01558 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Health Services of Rhode Island | Past | Accepting new patients | |
| St. Joseph Health Services of Rhode Island | Clinical | Past | Accepting new patients |
| Community Care Alliance | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Woonsocket, RI
- NPI 1013288083
-
- Psychiatry Physician
- North Providence, RI
- NPI 1326122557
Clinical
-
- General Acute Care Hospital
- Providence, RI
- NPI 1356478002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1336259407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WELLS ST",
"address_2": "THE WESTERLY HOSPITAL",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912922",
"telephone_number": "401-348-3972",
"fax_number": "401-348-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WELLS ST",
"address_2": "THE WESTERLY HOSPITAL",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912922",
"telephone_number": "401-348-3972",
"fax_number": "401-348-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRALICKY",
"first_name": "KIMBERLY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "271930",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "411723",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6299601",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.