Individual provider Active NPI

Kimberly L Hebert, LCSW

  • Clinical Social Worker
  • Lake Charles, LA
National Provider Identifier
1790020402
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10129 Issued in LA
Practice address
770 Bayou Pines East Dr
Lake Charles, LA 70601-7184
Phone
(337) 477-4770
Fax
(337) 477-0508
NPI assigned
Dec 6, 2012
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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 10129 LA Primary

Addresses

Primary practice location

770 Bayou Pines East Dr
Lake Charles, LA 70601-7184

Mailing address

770 Bayou Pines East Dr
Lake Charles, LA 70601-7184
Phone (337) 477-4770

Other practice location 1

665 N 23rd St
Beaumont, TX 77706-4941
Phone (337) 570-9015

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027001636 LA Practitioner - Clinical Social Worker 9234350729 Practice locations: Lake Charles, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

770 Bayou Pines E Dr
Lake Charles, LA 70601-7184
Phone (337) 477-0708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10129LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace and Hope Counseling LLC Clinical Current Accepting new patients
Compass Counseling, LLC PastSince Dec 10, 2023 Accepting new patients
Lisa J Brune and Company, LLC Past Accepting new patients
Compass Counseling, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1790020402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BAYOU PINES EAST DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-477-4770",
            "fax_number": "337-477-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BAYOU PINES EAST DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-477-4770",
            "fax_number": "337-477-0508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 N 23rd St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777064941",
            "country_code": "US",
            "telephone_number": "337-570-9015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.