Kimberly Jane Wells, MSW LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11366 Issued in MD

Practice address

2915-B Olney Sandy Spring Road
Olney, MD 20832-3502

Phone

(301) 570-7500

Fax

(307) 570-7504

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Olney Counseling Center LLCGroup PAC ID 4082972690, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Olney Counseling Center LLC

  • Mental Health Counselor
  • Olney, MD
  • NPI 1114438108

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Z Lopes LCSW

  • Clinical Social Worker
  • Olney, MD
  • NPI 1194009134
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1457545907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915-B OLNEY SANDY SPRING ROAD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208323502",
            "telephone_number": "301-570-7500",
            "fax_number": "307-570-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSW  LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Shangyuan Wang
• Cheryl Watkins
• Marc E Weber, MD
• Erin Marie Welch, M.A, CCC-SLP
• David J Weltz, CRNA
• Wendy Leibowitz LCSW-C
• Amy Jo White, L.C.P.C.
• Jeanette White, R.PH.
• Tiffany A Whitehead, PA

• Clinical Social Worker in Olney, MD
• Providers in Olney, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.