Individual provider Active NPI

Kimberly Huff Dafferner, LCSW

  • Clinical Social Worker
  • Germantown, TN
National Provider Identifier
1427698323
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5089 Issued in TN
Practice address
2583 Turpins Glen Dr
Germantown, TN 38138-5820
Phone
(901) 318-0506
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5089 TN Primary

Addresses

Primary practice location

2583 Turpins Glen Dr
Germantown, TN 38138-5820

Mailing address

2583 Turpins Glen Dr
Germantown, TN 38138-5820
Phone (901) 318-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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

Enrollment IDStateProvider typePAC IDDetails
I20230602001697 TN Practitioner - Clinical Social Worker 7012374226 Reassigns benefits to 2 organizations
I20240316000081 MS Practitioner - Clinical Social Worker 7012374226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Restore Therapy GroupGroup PAC ID 5294184552, 10 clinicians

Practice addresses (Care Compare)

Germantown, TN 38138
Phone (901) 318-0506

Iuka, MS 38852
Phone (901) 318-0506

Merit-based Incentive Payment System (MIPS)

Final score
87.19 of 100Reported as group
Quality
75
Improvement activities
40
Cost
69.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince Apr 22, 2023 Accepting new patients
Restore Therapy Group Clinical CurrentSince Oct 27, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1427698323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 TURPINS GLEN DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385820",
            "telephone_number": "901-318-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 TURPINS GLEN DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385820",
            "telephone_number": "901-318-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFERNER",
        "first_name": "KIMBERLY",
        "middle_name": "HUFF",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.