Individual provider Active NPI

Kimberly Ann Pampel, APSW

  • Social Worker
  • Green Bay, WI
National Provider Identifier
1508427907
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
131535 Issued in WI
Practice address
926 Willard Dr Ste 136
Green Bay, WI 54304-5296
Phone
(920) 461-5820
Fax
(888) 449-6342
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 131535 WI Primary

Addresses

Primary practice location

926 Willard Dr Ste 136
Green Bay, WI 54304-5296

Mailing address

926 Willard Dr Ste 136
Green Bay, WI 54304-5296
Phone (920) 461-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
131535WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberley Welk and Associates, LLC PastSince Mar 29, 2020 Accepting new patients

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1508427907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 WILLARD DR STE 136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045296",
            "telephone_number": "920-461-5820",
            "fax_number": "888-449-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 WILLARD DR STE 136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045296",
            "telephone_number": "920-461-5820",
            "fax_number": "888-449-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPEL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.