Individual provider Active NPI

Kimberly Anne Gropper, MSW, LCSW

  • Clinical Social Worker
  • Kilauea, HI
National Provider Identifier
1548521925
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112376 Issued in TX
Practice address
2329 Oka St
Kilauea, HI 96754-5331
Phone
(808) 828-1868
Fax
(808) 828-6493
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 112376 TX Primary

Addresses

Primary practice location

2329 Oka St
Kilauea, HI 96754-5331

Mailing address

619 County Road SE 4385
Scroggins, TX 75480-6806
Phone (808) 217-5754

Other practice location 1

619 County Road SE 4385
Scroggins, TX 75480-6806
Phone (808) 217-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20150909001149 HI Practitioner - Clinical Social Worker 5597071480 Practice locations: Kilauea, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112376TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1548521925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 COUNTY ROAD SE 4385",
            "city": "SCROGGINS",
            "state": "TX",
            "postal_code": "754806806",
            "telephone_number": "808-217-5754",
            "fax_number": "903-860-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 OKA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545331",
            "telephone_number": "808-828-1868",
            "fax_number": "808-828-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 County Road SE 4385",
            "address_purpose": "LOCATION",
            "city": "Scroggins",
            "state": "TX",
            "postal_code": "754806806",
            "country_code": "US",
            "telephone_number": "808-217-5754",
            "fax_number": "903-860-9699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROPPER",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilauea, HI

Sources for this page

Verify at the official NPI Registry.