Active NPI
Kimber Lee Andersen, LMSW
- Social Worker
- Carlsbad, NM
National Provider Identifier
1649578329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 406 N Alameda St
Carlsbad, NM 88220-5015 - Phone
- (575) 234-3320
- Fax
- (575) 234-3501
- NPI assigned
- Mar 4, 2011
- Last updated
- Sep 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
406 N Alameda St
Carlsbad, NM 88220-5015
Mailing address
406 N Alameda
Carlsbad, NM 88220
Phone (575) 234-3320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlsbad Municipal Schools | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Carlsbad, NM
- NPI 1497809321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1649578329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 N ALAMEDA",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "88220",
"telephone_number": "575-234-3320",
"fax_number": "575-234-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N ALAMEDA ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205015",
"telephone_number": "575-234-3320",
"fax_number": "575-234-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "KIMBER",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.