Individual provider Active NPI

Kimberly Pickelsimer McGraw, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1487947123
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004435 Issued in GA
Practice address
2430 Abercorn St Uppr Unitb
Savannah, GA 31401-9131
Phone
(912) 358-2324
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 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 CSW004435 GA Primary

Addresses

Primary practice location

2430 Abercorn St Uppr Unitb
Savannah, GA 31401-9131

Mailing address

PO Box 30829
Savannah, GA 31410-0829
Phone (912) 713-3705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110712000279 GA Practitioner - Clinical Social Worker 1759559057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2430 Abercorn St
Savannah, GA 31401-9131
Phone (912) 358-2324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Pickelsimer McGraw LCSW Clinical CurrentSince Mar 16, 2022 Accepting new patients

Locations

2430 Abercorn St
Savannah, GA 31401
Phone (912) 358-2324

2430 Abercorn St
Uppr Unitb
Savannah, GA 31401
Phone (912) 358-2324

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1487947123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30829",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314100829",
            "telephone_number": "912-713-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ABERCORN ST UPPR UNITB",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314019131",
            "telephone_number": "912-358-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "KIMBERLY",
        "middle_name": "PICKELSIMER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.