Nancy Kimmerly, PHD, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4000 S 700 E Ste 9
Salt Lake City, UT 84107-2581

Phone

(801) 441-0816

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Millcreek Therapy Psychological Services

  • Clinical Social Worker
  • Millcreek, UT
  • NPI 1033811401
  Medicare reassignment NPD Authorized official
• Compass Counseling and Consulting

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1356669360
  Medicare reassignment NPD
• Woodhaven at Millcreek Psychotherapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Millcreek, UT
  • NPI 1578207981
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1548752264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S 700 E STE 9",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072581",
            "telephone_number": "801-441-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S 700 E STE 9",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072581",
            "telephone_number": "801-441-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMERLY",
        "first_name": "NANCY",
        "credential": "PHD, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH LICENSE",
            "identifier": "146975422",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Davis Integrativehealth PLLC
• Kimberly O. Sieber, PH.D., PLLC
• Megan Kimberly, DNP
• Tia Kime
• Christopher L Kimler, PA
• Brianne Kimmet, DO
• Choice Roy Kinchen
• Kind Care Health Co LLC
• Kindling Inc
• Kindly Neuro

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.