Susan P Kimball, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008384 Issued in NC

Practice address

178 Buck Ridge Rd
Waynesville, NC 28785-7405

Phone

(828) 246-6100

Fax

(828) 246-6100

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kimball Counseling PC

  • Community/Behavioral Health Agency
  • Waynesville, NC
  • NPI 1134539364
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1336494210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 BUCK RIDGE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287857405",
            "telephone_number": "828-226-7366",
            "fax_number": "888-965-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 BUCK RIDGE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287857405",
            "telephone_number": "828-246-6100",
            "fax_number": "828-246-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "SUSAN",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Kent-White, BS, MS
• Andrew H Kersten
• Julie Kilburn
• Tammy Sunjung Kim, COTA
• Kimball Counseling PC
• Sherry Elizabeth Kimmel, LPTA
• Robin G. King, APRN,BC
• Christina Shawn Kirkpatrick
• Christy Cagle Kirkpatrick, PHARM D
• Michelle Klark

• Clinical Social Worker in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.