Individual provider Active NPI

Kimberly Girdlestone, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1528531084
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084204 Issued in NY
Practice address
1281 Union Road
Buffalo, NY 14224
Phone
(716) 844-9150
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 084204 NY Primary

Addresses

Primary practice location

1281 Union Road
Buffalo, NY 14224

Mailing address

1281 Union Rd
Buffalo, NY 14224-2900
Phone (716) 844-9150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251202000864 NY Practitioner - Clinical Social Worker 3678066347 Practice locations: West Seneca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1281 Union Rd
West Seneca, NY 14224-2900
Phone (716) 844-9150

1281 Union Rd
West Seneca, NY 14224-2984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084204NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1528531084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 UNION RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142242900",
            "telephone_number": "716-844-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 UNION ROAD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-844-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRDLESTONE",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.