Kimberly Sue Haas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017192 Issued in PA

Practice address

265 3Rd St FL 2
Beaver, PA 15009-2350

Phone

(724) 371-0177

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

Yes

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.

• Cornerstone Wellness Center Inc

  • Professional Counselor
  • Beaver, PA
  • NPI 1316513344

  PA

  Medicare reassignment Care Compare group NPD
• New Directions Mental Health, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • MC Murray, PA
  • NPI 1215904800

  Clinical

  NPD (past)
• Trotter Therapy Services, LLC

  • Physical Therapist
  • Bessemer, PA
  • NPI 1962914895
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Wellness Center Inc 8 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in PA

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2022.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1497375968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MORNINGSTAR DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150019442",
            "telephone_number": "724-480-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 3RD ST FL 2",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "724-371-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Guidry, MA
• Nicole M Gumpf, M.S., R.D., L.D.N.
• Stephanie Ann Guzie, RPH
• Guzzetti Optometric Services, P.C.
• John A. Guzzetti, O.D.
• Haczela Chiropractic Center, P.C.
• Michael John Haczela, D.C.
• George Haddad, MD
• Michael Christian Hando, CRNA
• Kayla Hannan

• All providers in Beaver, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.