Kim Halback, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50078515 Issued in DC

Practice address

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146

Phone

(800) 431-6377

Fax

(866) 936-0235

NPI assigned

Aug 31, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Halback & Associates

  • Clinical Social Worker
  • Washington, DC
  • NPI 1427487867
  NPD Authorized official

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1770576175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 BISHOPMILL DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723405",
            "telephone_number": "202-290-8335",
            "fax_number": "866-936-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "800-431-6377",
            "fax_number": "866-936-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4844 Queens Chapel Ter NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200173139",
            "country_code": "US",
            "telephone_number": "202-289-1510 x1428",
            "fax_number": "202-518-8924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALBACK",
        "first_name": "KIM",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "6651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372048",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info.handa@halbackandassociates.com",
            "affiliation": "N",
            "endpointDescription": "secured business email",
            "address_1": "4844 Queens Chapel Ter NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200173139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hair by Natalie
• Aniya Hair
• Sydney Neda Hajimirsadeghi, PHARMD
• Halback and Associates LLC
• Halback and Associates LLC
• Brittany Hall
• Dominique Crystal Hallany, HHA
• Tiffany Halliburton
• Juliet Halloulell
• Miranda Hallowell

• Clinical Social Worker in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.