Active NPI
Kim York
- Social Worker
- Media, PA
National Provider Identifier
1780755322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW012206L
- Practice address
- 11 S Bryn Mawr PL
Media, PA 19063-5337 - Phone
- (484) 442-8429
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW012206L | PA | Primary |
Addresses
Primary practice location
11 S Bryn Mawr PL
Media, PA 19063-5337
Mailing address
11 S Bryn Mawr PL
Media, PA 19063-5337
Phone (484) 442-8429
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7752298 | Other | PA | AETNA |
| 2321336000 | Other | PA | IBC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW012206L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1780755322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S BRYN MAWR PL",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635337",
"telephone_number": "484-442-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 S BRYN MAWR PL",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635337",
"telephone_number": "484-442-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW012206L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7752298",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2321336000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.