Kimberly A Newbury, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01145 Issued in RI

Practice address

4705A Old Post Rd
Charlestown, RI 02813-1819

Phone

(401) 364-7705

Fax

(401) 364-9104

NPI assigned

May 30, 2006

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly a. Newbury

  • Clinical Social Worker
  • Westerly, RI
  • NPI 1881952414
  NPD (past) Authorized official
• South Shore Center Inc

  • Group Psychotherapy Psychologist
  • Charlestown, RI
  • NPI 1255327391

  Clinical

  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1740237080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028130899",
            "telephone_number": "401-364-7705",
            "fax_number": "401-364-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705A OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028131819",
            "telephone_number": "401-364-7705",
            "fax_number": "401-364-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1020890",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KA09594",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN/TRICARE",
            "identifier": "341613",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-09370",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS BLUE SHIELD",
            "identifier": "30616-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "408126",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erynn Leigh Mills
• Gianna Monaco
• Carol Mossa, MASSAGE THERAPIST
• Narragansett Indian Health Center
• Narragansett Indian Tribe (Narragansett Indian Health Center)
• Noka Lane Group Home
• Alison M Nolan, LICSW
• Jessica Lynne O'Connor, LCDP
• Ocean Pharmacy Charlestown Inc.
• Jane Palmer, RN

• Clinical Social Worker in Charlestown, RI
• Providers in Charlestown, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.