Kimberly Dunn-Lipscomb, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09924905 Issued in CO

Practice address

2620 S Parker Rd Ste 185
Aurora, CO 80014-1626

Phone

(720) 347-8559

Fax

(720) 207-6885

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

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.

• Blue Moon of Colorado LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1629593967

  CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1467786434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S PARKER RD STE 185",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141626",
            "telephone_number": "720-347-8559",
            "fax_number": "720-207-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S PARKER RD STE 185",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141626",
            "telephone_number": "720-347-8559",
            "fax_number": "720-207-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Hulen St",
            "address_2": "HTN, Client Accounting",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077277",
            "country_code": "US",
            "telephone_number": "817-569-4396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN-LIPSCOMB",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53080",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307789301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89074Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Dunkleberger
• Charles Lee Dunlap II, MA
• Jessica Jean Dunlap, CMT
• Hillary Ann Dunlevy, MD
• Gentry R Dunlop, MD
• Amy Rebecca Dunn, PA-C
• David S Dunn, D.M.D.
• Jennifer Dunn, FNP
• Julia Dunn, CPNP-AC
• Kathryn Dunn, LCSW, LAC

• Clinical Social Worker in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.