Debra Lynn Kimble, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095660-1 Issued in NY

Practice address

115 Liberty St
Bath, NY 14810-1508

Phone

(607) 664-2255

NPI assigned

Sep 30, 2015

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, IA2 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 2

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hillcrest Family ServicesGroup PAC ID 1557274743, 15 clinicians

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hillcrest Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, IA
  • NPI 1023232824
  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NY

  Medicare reassignment Care Compare group NPD
• Pathways, Inc.

  • Social Worker
  • Corning, NY
  • NPI 1396896486
  Medicare reassignment NPD
• Hillcrest Family Services

  • Primary Care Clinic/Center
  • Dubuque, IA
  • NPI 1497354773
  NPD
• Hillcrest Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dubuque, IA
  • NPI 1497977763
  NPD
• Erwin Psychiatric NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corning, NY
  • NPI 1639939069
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1407226764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HARPER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012307",
            "telephone_number": "607-654-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LIBERTY ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101508",
            "telephone_number": "607-664-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095660-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Kesel, LCSW-R
• Keuka Family Practice Associates LLP (Keuka Family Practice Associates)
• Moira Khettry, LMSW
• Diane Lynn Kiff
• Jannette Killian
• Lisa King-Towner, LMSW
• Carl James Kittleson, PSY.D.
• Jill Helen Knight, PHARMD
• Paul David Knowlton, PHD
• Lindsay Kolk, CASAC-T

• Social Worker in Bath, NY
• Providers in Bath, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.