Individual provider Active NPI

Kimberly Jean Trueheart, MSW, LCSWA

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1538405782
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P007574 Issued in NC
Practice address
7830 N Point Blvd
Suite 201
Winston Salem, NC 27106-3261
Phone
(336) 896-0904
NPI assigned
Dec 17, 2012
Last updated
Dec 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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 P007574 NC Primary

Addresses

Primary practice location

7830 N Point Blvd
Suite 201
Winston Salem, NC 27106-3261

Mailing address

2910 Northbridge Rd
Winston Salem, NC 27103-6519
Phone (336) 413-2024

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
P007574NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1538405782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 NORTHBRIDGE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036519",
            "telephone_number": "336-413-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 N POINT BLVD",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063261",
            "telephone_number": "336-896-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEHEART",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.