Individual provider Active NPI

Kimberly Ann Marcos, LMSW

  • Social Worker
  • Overland Park, KS
National Provider Identifier
1447591698
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7684 Issued in KS
Practice address
9250 Glenwood St
Overland Park, KS 66212-1365
Phone
(913) 549-3526
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7684 KS Primary

Addresses

Primary practice location

9250 Glenwood St
Overland Park, KS 66212-1365

Mailing address

9250 Glenwood St
Overland Park, KS 66212-1365
Phone (913) 549-3526

Other names 1

  • Ms. Kimberly Ann Coffman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241112003850 KS Practitioner - Clinical Social Worker 6507390614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7684KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Behavioral Health Services LLC CurrentSince Sep 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1447591698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 GLENWOOD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121365",
            "telephone_number": "913-549-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 GLENWOOD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121365",
            "telephone_number": "913-549-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "COFFMAN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.