Active NPI
Bernard Kimberg, LCSW
- Social Worker
- White Plains, NY
National Provider Identifier
1427201631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 016763
- Practice address
- 845 North Broadway
C/O WJCS
White Plains, NY 10603 - Phone
- (914) 761-0600
- Fax
- (914) 761-5367
- NPI assigned
- Oct 31, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 016763 | NY | Primary |
Addresses
Primary practice location
845 North Broadway
C/O WJCS
White Plains, NY 10603
Mailing address
32 Sherbrooke Road
Hartsdale, NY 10530
Phone (914) 761-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016763 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1427201631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SHERBROOKE ROAD",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"telephone_number": "914-761-0600",
"fax_number": "914-761-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 NORTH BROADWAY",
"address_2": "C/O WJCS",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10603",
"telephone_number": "914-761-0600",
"fax_number": "914-761-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBERG",
"first_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "016763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.