Jennifer Kimball Walter, LCSW
Individual provider Active NPI Clinical Social Worker · Fargo, ND
NPI 1457523557 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1457523557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1330 23Rd St S
Ste B
Fargo, ND 58103 - Phone
- (701) 526-4898
- Fax
- (701) 205-4734
- NPI assigned
- Mar 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Story Counseling Services PLLC
Practice addresses (Care Compare)
1330 23Rd St S
Fargo, ND 58103-3705
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210625002429 | ND | Practitioner - Clinical Social Worker | 3971904038 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Story Counseling Services PLLC | Current |
Accepting new patients |
Locations
1330 23rd St S
Ste B
Fargo, ND 58103
Phone (701) 526-4898
1330 Page Dr S
Ste 101
Fargo, ND 58103
Phone (701) 300-8879
1330 23rd St S
Fargo, ND 58103
Phone (701) 526-4898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1330 23Rd St S
Ste B
Fargo, ND 58103
Mailing address
1330 23Rd St S
Ste B
Fargo, ND 58103
Phone (701) 526-4898
Other providers in Fargo, ND
- Nicole A Kiewel
- Michelle R Kilber
- Kristi A Kilen
- Geneveive J Killen
- Dong Kim
- Chelsea Kimmes
- Kin & Care ND LLC
- Katherine Kincaid
- Kelsey Kincaid
- Matthew Kindem
All providers in Fargo, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.