Individual provider Active NPI

David Eckhardt Kilmer, LCSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1699103184
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0427C Issued in AL
Practice address
2868 Acton Road
Birmingham, AL 35243-2502
Phone
(205) 968-8360
Fax
(205) 968-8361
NPI assigned
Oct 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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 0427C AL Primary

Addresses

Primary practice location

2868 Acton Road
Birmingham, AL 35243-2502

Mailing address

2868 Acton Road
Birmingham, AL 35243-2502
Phone (205) 968-8360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20131112001639 AL Practitioner - Clinical Social Worker 4587890066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Alabama School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pitts Mental Health Associates IncGroup PAC ID 6103853445, 13 clinicians

Practice addresses (Care Compare)

601 Beacon Pkwy W
Suite 201
Birmingham, AL 35209-3123
Phone 20587035207811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pitts Mental Health Associates, Inc. CurrentSince Jun 13, 2016 Accepting new patients

Locations

601 Beacon Pkwy W
Ste 201
Birmingham, AL 35209
Phone (205) 536-7811

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": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1699103184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 ACTON ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-968-8360",
            "fax_number": "205-968-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 ACTON ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-968-8360",
            "fax_number": "205-968-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "DAVID",
        "middle_name": "ECKHARDT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0427C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.