Individual provider Active NPI

Barbara L. Klumpp, LCSW

  • Clinical Social Worker
  • Penfield, NY
National Provider Identifier
1750350385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R016779-1 Issued in NY
Practice address
857 Embury Rd
Penfield, NY 14526-9703
Phone
(585) 671-7815
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R016779-1 NY Primary

Addresses

Primary practice location

857 Embury Rd
Penfield, NY 14526-9703

Mailing address

857 Embury Rd
Penfield, NY 14526-9703
Phone (585) 671-7815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180205000586 NY Practitioner - Clinical Social Worker 5294095626 Practice locations: Penfield, NY; Rochester, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R016779-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750350385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 EMBURY RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269703",
            "telephone_number": "585-671-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 EMBURY RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269703",
            "telephone_number": "585-671-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUMPP",
        "first_name": "BARBARA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R016779-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.