Active NPI
Kimberly Anne Soley, MSW, LSW, ACSW
- Social Worker
- Butler, PA
National Provider Identifier
1730393513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW010644L
- Practice address
- 422 N Main St
Suite B
Butler, PA 16001-4360 - Phone
- (724) 283-6300
- NPI assigned
- May 10, 2007
- 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 | SW010644L | PA | Primary |
Addresses
Primary practice location
422 N Main St
Suite B
Butler, PA 16001-4360
Mailing address
121 Heather Dr
Butler, PA 16001-2819
Phone (724) 482-4940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276928 | Other | PA | HIGHMARK PIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW010644L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730393513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 HEATHER DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012819",
"telephone_number": "724-482-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 N MAIN ST",
"address_2": "SUITE B",
"city": "BUTLER",
"state": "PA",
"postal_code": "160014360",
"telephone_number": "724-283-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLEY",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "MSW, LSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW010644L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PIN",
"identifier": "276928",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.