Active NPI
Kimberley Farris Croley, MSW
- Clinical Social Worker
- Guntersville, AL
National Provider Identifier
1356909956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4967C
- Practice address
- 2409 Homer Clayton Drive
Guntersville, AL 35976-2207 - Phone
- (256) 582-3203
- Fax
- (256) 582-3216
- NPI assigned
- May 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 4967C | AL | Primary |
Addresses
Primary practice location
2409 Homer Clayton Drive
Guntersville, AL 35976-2207
Mailing address
2409 Homer Clayton Drive
Guntersville, AL 35976-2207
Phone (256) 582-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2215 Ringold St
Guntersville, AL 35976-1531
Phone (256) 506-6525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall-Jackson Mental Health BD., Inc. | Current | Accepting new patients | |
| Trilogy Counseling LLC | Clinical | Current | Accepting new patients |
Locations
2409 Homer Clayton Dr
Guntersville, AL 35976
Phone (256) 582-3203
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Guntersville, AL
- NPI 1942176045
-
- Community/Behavioral Health Agency
- Guntersville, AL
- NPI 1568495588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1356909956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 HOMER CLAYTON DRIVE",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359762207",
"telephone_number": "256-582-3203",
"fax_number": "256-582-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 HOMER CLAYTON DRIVE",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359762207",
"telephone_number": "256-582-3203",
"fax_number": "256-582-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROLEY",
"first_name": "KIMBERLEY",
"middle_name": "FARRIS",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4967C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guntersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.