Individual provider Active NPI

Kimberly A Pinto, LCSW

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1669990255
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
904010058 Issued in VA
Practice address
428 McLaws Cir Ste 202a
Williamsburg, VA 23185-5654
Phone
(757) 808-5250
Fax
(757) 808-7076
NPI assigned
Sep 2, 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
Clinical Social Worker 1041C0700X 904010058 VA Primary

Addresses

Primary practice location

428 McLaws Cir Ste 202a
Williamsburg, VA 23185-5654

Mailing address

428 McLaws Cir Ste 202a
Williamsburg, VA 23185-5654
Phone (757) 808-5250

Other practice location 1

2021 Cunningham Dr Ste 400
Hampton, VA 23666-3371
Phone (757) 838-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180123002278 VA Practitioner - Clinical Social Worker 0749549657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
904010058VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Project LLC CurrentSince Aug 15, 2021 Accepting new patients
Center for Child and Family Services PastSince Nov 4, 2017 Accepting new patients

Locations

428 McLaws Cir
Ste 202A
Williamsburg, VA 23185
Phone (757) 344-8682

Organizations & group practices 2

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": "1504310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669990255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 MCLAWS CIR STE 202A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855654",
            "telephone_number": "757-808-5250",
            "fax_number": "757-808-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 MCLAWS CIR STE 202A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855654",
            "telephone_number": "757-808-5250",
            "fax_number": "757-808-7076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Cunningham Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236663371",
            "country_code": "US",
            "telephone_number": "757-838-1960",
            "fax_number": "757-838-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINTO",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "904010058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.