Individual provider Active NPI

Kim Goforth Simpson, LCSW

  • Clinical Social Worker
  • Concord, NC
National Provider Identifier
1720606783
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016948 Issued in NC
Practice address
1050 Cambrook CT
Concord, NC 28027-0504
Phone
(980) 355-1429
Fax
(877) 940-3260
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18704 SC
Clinical Social Worker 1041C0700X C016948 NC Primary
Clinical Social Worker 1041C0700X TPSW4034 FL
Clinical Social Worker 1041C0700X 35968 MN

Addresses

Primary practice location

1050 Cambrook CT
Concord, NC 28027-0504

Mailing address

1050 Cambrook CT
Concord, NC 28027-0504
Phone (980) 355-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MN, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240716004828 NC Practitioner - Clinical Social Worker 7315482189 Reassigns benefits to 2 organizations
I20260303002465 MN Practitioner - Clinical Social Worker 7315482189 Reassigns benefits to 1 organization
I20260603000759 SC Practitioner - Clinical Social Worker 7315482189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW4034FLMDClinical Social Worker
35968MNMDClinical Social Worker
18704SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 17, 2024 Accepting new patients
A Su Lado Therapy PLLC Clinical Current Accepting new patients
A Su Lado Therapy PLLC Clinical CurrentSince Sep 17, 2024 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

818 S Main St
Kannapolis, NC 28081
Phone (704) 727-6226

818 S Main St
Ste A
Kannapolis, NC 28081
Phone (704) 727-6226

Organizations & group practices 3

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1720606783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CAMBROOK CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270504",
            "telephone_number": "980-355-1429",
            "fax_number": "877-940-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CAMBROOK CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270504",
            "telephone_number": "980-355-1429",
            "fax_number": "877-940-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KIM",
        "middle_name": "GOFORTH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "18704",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016948",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW4034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "35968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.