Kimberly Walch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1713 Penn LN
Oregon City, OR 97045-1592

Phone

(503) 655-7725

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Jerde Former name

Medicare fee-for-service enrollment

Enrolled in OR

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, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Brightways Counseling Group LLC

  • Group Psychotherapy Psychologist
  • Redmond, OR
  • NPI 1689191165

  Clinical

  Medicare reassignment NPD
• Bright Horizons Psychiatric Group LLC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Redmond, OR
  • NPI 1629724695
  NPD (past)
• Children'S Center

  • Child Abuse Pediatrics Physician
  • Oregon City, OR
  • NPI 1639349533
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1568107472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 PENN LN",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451592",
            "telephone_number": "503-655-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 PENN LN",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451592",
            "telephone_number": "503-655-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCH",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JERDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Waithaka Wachira
• Rachel Jean Wachter, DPT
• Ashlee Waddell
• Deborah Jo Wagner, OTR
• Kahra Elizabeth Wahler
• Andrew L Waldal, RPH
• Walgreen Co
• Willow E Walker, RN
• Rebecca Violet Wallender, LPN
• Britney Lee Walsh, CNM, WHNP

• Clinical Social Worker in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.