Kimberly Shurtleff Hartman, LCSW, a PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

991629 Issued in CO

Legal business name

KIMBERLY SHURTLEFF HARTMAN, LCSW, A PC

Practice address

1414 N Nevada Ave
Colorado Springs, CO 80907-7431

Phone

(719) 465-9357

Fax

(719) 452-3491

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Shurtleff Hartman, LCSWNPI 1669450771

Title

Authorization Officer

Phone

(719) 465-9357

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Shurtleff Hartman, L.C.S.W.

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1669450771
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1730506387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50875",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809490875",
            "telephone_number": "719-465-9357",
            "fax_number": "719-452-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077431",
            "telephone_number": "719-465-9357",
            "fax_number": "719-452-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY SHURTLEFF HARTMAN, LCSW, A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SHURTLEFF",
        "authorized_official_title_or_position": "AUTHORIZATION OFFICER",
        "authorized_official_telephone_number": "719-465-9357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669450771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yong Ji Kim, APRN
• Jewel Kimball
• Mary Camille Kimball, R.N., B.S.N.
• Melissa Dee Kimball, MA, LPC
• Kimberly Inman Pmhnp-BC PLLC (Inman Psychiatry)
• Edward T Kimble, M.D.
• Siera Kimble
• William K Kimble
• Austin Michelle Kimbrell
• Jennifer Kimbrough

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.