Individual provider Active NPI

Kimberly Milberg

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1760523005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213709 Issued in MA
Practice address
511 E Columbus Ave
Springfield, MA 01105-2506
Phone
(413) 827-8959
Fax
(413) 827-7015
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

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 213709 MA Primary

Addresses

Primary practice location

511 E Columbus Ave
Springfield, MA 01105-2506

Mailing address

19 Ames St
Springfield, MA 01104-1325
Phone (413) 827-8959

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
114675MAMDClinical Social Worker
213709MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760523005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 AMES ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041325",
            "telephone_number": "413-827-8959",
            "fax_number": "413-827-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E COLUMBUS AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052506",
            "telephone_number": "413-827-8959",
            "fax_number": "413-827-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBERG",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

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.

Verify at the official NPI Registry.