Individual provider Active NPI

Kim Nicole Barsella, MSW, LCSW-C, LICSW

  • Clinical Social Worker
  • Oakland, MD
National Provider Identifier
1346473105
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10793 Issued in MD
Practice address
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone
(205) 899-0448
NPI assigned
Aug 27, 2009
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC303019 DC
Clinical Social Worker 1041C0700X 10793 MD Primary

Addresses

Primary practice location

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139

Mailing address

2500 Dallas Hwy SW # 202-1249
Marietta, GA 30064-2567
Phone (205) 899-0448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL, MN, GA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20191105000672 MD Practitioner - Clinical Social Worker 6901138387 Reassigns benefits to 1 organization
I20210105003218 DC Practitioner - Clinical Social Worker 6901138387 Reassigns benefits to 2 organizations
I20251202000474 FL Practitioner - Clinical Social Worker 6901138387 Reassigns benefits to 2 organizations
I20251205000983 MN Practitioner - Clinical Social Worker 6901138387 Reassigns benefits to 2 organizations
I20251209003674 GA Practitioner - Clinical Social Worker 6901138387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2332 Galiano St
FL 2
Coral Gables, FL 33134-5402

66 E Flagler St
Miami, FL 33130-1807

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC303019DCMDClinical Social Worker
10793MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 16, 2024 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jun 1, 2026 Accepting new patients
Sailor Health Medical PA Clinical CurrentSince Dec 20, 2025 Accepting new patients
Allone Health Well LLC Past Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1372 Peachtree St NE
Ofc 221
Atlanta, GA 30309

3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

300 Colonial Center Pkwy
Ofc 12
Roswell, GA 30076
Phone (833) 351-1825

4445 Willard Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 921-4287

10711 Red Run Blvd
Ste 101
Owings Mills, MD 21117
Phone (443) 492-8557

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1346473105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW # 202-1249",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642567",
            "telephone_number": "205-899-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR STE C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139",
            "telephone_number": "205-899-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSELLA",
        "first_name": "KIM",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303019",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.