Organization Active NPI

Kim Estes MSW, LLC

  • Social Worker
  • White River Junction, VT
National Provider Identifier
1417435868
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.