Individual provider Active NPI

Kimberly Ann Gilles, LCSW

  • Clinical Social Worker
  • Quakertown, PA
National Provider Identifier
1366782385
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017395 Issued in PA
Practice address
1534 West Brad Street
Quakertown, PA 18951-1106
Phone
(215) 272-9642
Fax
(215) 536-1059
NPI assigned
Feb 28, 2013
Last updated
May 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017395 PA Primary

Addresses

Primary practice location

1534 West Brad Street
Quakertown, PA 18951-1106

Mailing address

PO Box 898
Richlandtown, PA 18955-0898
Phone (215) 272-9642

Other identifiers 1

IdentifierTypeStateIssuer
CW017395OtherPALCSW CREDENTIALS

Other names 1

  • Ms. Kimberly Ann Bertsch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20130729000435 PA Practitioner - Clinical Social Worker 4880835115 Practice locations: Quakertown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Quakertown, PA 18951
Phone (215) 272-9642

314 W Broad St
Quakertown, PA 18951-1287
Phone (215) 272-9642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Villa St John Vianney PastSince Aug 4, 2020 Accepting new patients

Organizations & group practices 1

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": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1366782385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 898",
            "city": "RICHLANDTOWN",
            "state": "PA",
            "postal_code": "189550898",
            "telephone_number": "215-272-9642",
            "fax_number": "215-536-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 WEST BRAD STREET",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511106",
            "telephone_number": "215-272-9642",
            "fax_number": "215-536-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW CREDENTIALS",
            "identifier": "CW017395",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BERTSCH",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.