Active NPI
Kimberley Carolyn Epperson, LCSW
- Clinical Social Worker
- Metairie, LA
National Provider Identifier
1750685756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4407
- Practice address
- 3340 Severn Ave
Suite 206
Metairie, LA 70002-7407 - Phone
- (504) 889-1448
- Fax
- (504) 889-1452
- NPI assigned
- Jan 5, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4407 | LA | Primary |
Addresses
Primary practice location
3340 Severn Ave
Suite 206
Metairie, LA 70002-7407
Mailing address
3340 Severn Ave
Suite 206
Metairie, LA 70002-7407
Phone (504) 889-1448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3901 Houma Blvd
Suite 401
Metairie, LA 70006-2930
Phone (504) 889-1448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Psychiatric Associates LLC | Clinical | Current | Accepting new patients |
Locations
3340 Severn Ave
Ste 206
Metairie, LA 70002
Phone (504) 889-1448
3901 Houma Blvd
Ste 401
Metairie, LA 70006
Phone (504) 889-1448
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/05a97b88-f719-405f-abbb-125ac71b7cee/
Organizations & group practices 1
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": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1750685756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 SEVERN AVE",
"address_2": "SUITE 206",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700027407",
"telephone_number": "504-889-1448",
"fax_number": "504-889-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 SEVERN AVE",
"address_2": "SUITE 206",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700027407",
"telephone_number": "504-889-1448",
"fax_number": "504-889-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "KIMBERLEY",
"middle_name": "CAROLYN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
- Kathryn Engro, M.S., PLPC
- Enid Holdings LLC
- Enlightened Chiropractic LLC
- Meredith Ann Enright, MOT, LOTR
- Terry Marie Enriques, MASSAGE THERAPIST
- Shelly D Ereth, DDS
- Alexander Murat Bruun Ergun, MB BCH BAO
- Eric Lonseth, M.D., a Professional Medical Corporation
- Rachel Lazarus Eriksen, LCSW
- Ashlie Lopez Erwin, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.