Active NPI
Kim Estes MSW, LLC
- Social Worker
- White River Junction, VT
National Provider Identifier
1417435868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- KIM ESTES MSW, LLC
- Practice address
- 2458 Christian St
White River Junction, VT 05001-9887 - Phone
- (603) 359-5084
- NPI assigned
- Jul 29, 2018
- Last updated
- Jul 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andie Gates
- Title
- Credentialing
- Phone
- (937) 609-7830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
2458 Christian St
White River Junction, VT 05001-9887
Mailing address
38 River Rd
Hanover, NH 03755-6612
National Provider Directory
National Provider DirectoryLocations
2458 Christian St
White River Junction, VT 05001
Phone (603) 643-1234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- White River Junction, VT
- NPI 1215446554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532822400000",
"number": "1417435868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 RIVER RD",
"city": "HANOVER",
"state": "NH",
"postal_code": "037556612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2458 CHRISTIAN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050019887",
"telephone_number": "603-359-5084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM ESTES MSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-29",
"last_updated": "2018-07-29",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "ANDIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "937-609-7830"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.