Individual provider Active NPI

Kimberley McGrath Salamone

  • Clinical Social Worker
  • Wallkill, NY
National Provider Identifier
1396020137
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078931-1 Issued in NY
Practice address
324 Garrison Woods LN
Wallkill, NY 12589-4040
Phone
(845) 913-6562
Fax
(845) 913-9467
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 0789311 NY
Clinical Social Worker 1041C0700X 078931-1 NY Primary

Addresses

Primary practice location

324 Garrison Woods LN
Wallkill, NY 12589-4040

Mailing address

324 Garrison Woods LN
Wallkill, NY 12589-4040
Phone (845) 913-6562

Other practice location 1

324 Garrison Woods Ln
Wallkill, NY 12589-4040
Phone (845) 913-6562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200410001982 NY Practitioner - Clinical Social Worker 1759710809 Practice locations: Wallkill, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

324 Garrison Woods LN
Wallkill, NY 12589-4040
Phone (845) 913-6562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078931-1NYMDClinical Social Worker
0789311NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soulshine Counseling Clinical CurrentSince Mar 24, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1396020137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GARRISON WOODS LN",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125894040",
            "telephone_number": "845-913-6562",
            "fax_number": "845-913-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 GARRISON WOODS LN",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125894040",
            "telephone_number": "845-913-6562",
            "fax_number": "845-913-9467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Garrison Woods Ln",
            "address_purpose": "LOCATION",
            "city": "Wallkill",
            "state": "NY",
            "postal_code": "125894040",
            "country_code": "US",
            "telephone_number": "845-913-6562",
            "fax_number": "845-291-0927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRATH SALAMONE",
        "first_name": "KIMBERLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0789311",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078931-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallkill, NY

Sources for this page

Verify at the official NPI Registry.