Kimberly Alderson, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010280 Issued in IL

Practice address

16162 Ellis Ave # 1N
South Holland, IL 60473-1700

Phone

(708) 990-6090

Fax

(708) 331-9417

NPI assigned

Mar 20, 2008

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Treatment Training Developmental Services LLCGroup PAC ID 3072833433, 2 clinicians

Practice addresses (Care Compare)

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.

• Alderson Family Connections, PC

  • Clinical Social Worker
  • South Holland, IL
  • NPI 1477918886
  Medicare reassignment NPD Authorized official
• Treatment Training Developmental Services, LLC

  • Professional Counselor
  • Calumet City, IL
  • NPI 1386038859

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bonnes and Associates, P.C.

  • Clinical Social Worker
  • South Holland, IL
  • NPI 1114119781
  NPD Authorized official
• Healthy Hearts and Healthy Minds Counseling LLC

  • Mental Health Counselor
  • Merrillville, IN
  • NPI 1730686965

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1760653497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16162 ELLIS AVE # 1N",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731700",
            "telephone_number": "708-990-6090",
            "fax_number": "708-331-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16162 ELLIS AVE # 1N",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731700",
            "telephone_number": "708-990-6090",
            "fax_number": "708-331-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006332A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage MRI, LLC
• Advocate Health and Hospitals Corporation (Advocate Medical Group)
• Uchechukwu Ajaere
• Folashade M. Akande, PMHNP-BC
• Alderson Family Connections, PC
• Alishia S Mercherson
• Antoinette Allen
• Jacquelyn Lavette Allen, MOTR/L, CPAM
• Alpha to Omega Living
• Amazing Grace Healthcare Services

• Clinical Social Worker in South Holland, IL
• Providers in South Holland, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.

Verify at the official NPI Registry.