Individual provider Active NPI

Kimberly L Schiefelbein, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1477278802
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
535 N Wilmot Rd Ste 201
Tucson, AZ 85711-2629
Phone
(520) 694-1234
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 Primary

Addresses

Primary practice location

535 N Wilmot Rd Ste 201
Tucson, AZ 85711-2629

Mailing address

6935 S Harrier Loop
Tucson, AZ 85756-8614
Phone (402) 881-2027

Other names 1

  • Kim L Schiefelbein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240612004416 IA Practitioner - Clinical Social Worker 1456728534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Mind Therapy LLCGroup PAC ID 4486920089, 4 clinicians

Practice addresses (Care Compare)

35 Main PL
Suite 100
Council Bluffs, IA 51503-0706
Phone (712) 256-9902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mind Therapy LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

35 Main Pl
Ste 100
Council Bluffs, IA 51503
Phone (712) 256-9902

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1477278802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 S HARRIER LOOP",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568614",
            "telephone_number": "402-881-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112629",
            "telephone_number": "520-694-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEFELBEIN",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "SCHIEFELBEIN",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.