Kimberly Grebert, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1015292 Issued in MA

Practice address

124 Watertown St
Watertown, MA 02472-2576

Phone

(781) 266-8126

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831261403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BEVERLY RD",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741209",
            "telephone_number": "781-266-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722576",
            "telephone_number": "781-266-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBERT",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1860011",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas H Gorman, DC
• Robin A Grace, MS, OTR/L
• Hilary Graham, LMHC
• Juan Jose Graham, DMD
• Greater Boston Nutrition LLC
• Jeffrey O Greenberg, M.D.
• Malcolm Richard Greene, O.D.
• Martin J Greene, OD
• Wendy B Greenhalgh, BCBA
• Blake Grider

• Clinical Social Worker in Watertown, MA
• Providers in Watertown, MA by specialty
• Clinical Social Worker in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.