Active NPI
Kimberly Anne Gropper, MSW, LCSW
- Clinical Social Worker
- Kilauea, HI
National Provider Identifier
1548521925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150909001149 | HI | Practitioner - Clinical Social Worker | 5597071480 | Practice locations: Kilauea, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112376 | TX | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.