Individual provider Active NPI

Sarah Ellen Kimber

  • Social Worker
  • Newport, PA
National Provider Identifier
1619486172
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW134788 Issued in PA
Practice address
28 W Shortcut Rd
Newport, PA 17074-8721
Phone
(717) 567-3524
Fax
(717) 567-3581
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW134788 PA Primary

Addresses

Primary practice location

28 W Shortcut Rd
Newport, PA 17074-8721

Mailing address

28 W Shortcut Rd
Newport, PA 17074-8721
Phone (717) 567-3524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240829002814 PA Practitioner - Clinical Social Worker 4183163504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Counseling Center, LLCGroup PAC ID 6608930920, 7 clinicians

Practice addresses (Care Compare)

28 W Shortcut Rd
Newport, PA 17074-8721
Phone (717) 567-3524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW134788PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Counseling Center, LLC Social Worker CurrentSince Aug 22, 2024 Accepting new patients

Locations

28 W Shortcut Rd
Newport, PA 17074
Phone (717) 567-3174

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619486172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W SHORTCUT RD",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748721",
            "telephone_number": "717-567-3524",
            "fax_number": "717-567-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W SHORTCUT RD",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748721",
            "telephone_number": "717-567-3524",
            "fax_number": "717-567-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBER",
        "first_name": "SARAH",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, PA

Sources for this page

Verify at the official NPI Registry.