Individual provider Active NPI

Julia Friedman Kimball, LICSW

  • Clinical Social Worker
  • Milton, VT
National Provider Identifier
1831542075
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0084650 Issued in VT
Practice address
160 River St Unit 103
Milton, VT 05468-3662
Phone
(802) 310-7091
NPI assigned
Jul 22, 2016
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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 089-0084650 VT Primary

Addresses

Primary practice location

160 River St Unit 103
Milton, VT 05468-3662

Mailing address

160 River St Unit 103
Milton, VT 05468-3662
Phone (802) 310-7091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20160929002058 VT Practitioner - Clinical Social Worker 8820385172 Reassigns benefits to 2 organizations

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)

160 River St
Unit 103
Milton, VT 05468-3662
Phone (802) 893-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0084650VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Heart Counseling PLC Clinical CurrentSince Jun 1, 2018 Accepting new patients
The Richford Health Center Inc Past Accepting new patients

Locations

160 River St
Unit 103
Milton, VT 05468
Phone (802) 310-7091

Organizations & group practices 3

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1831542075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIVER ST UNIT 103",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683662",
            "telephone_number": "802-310-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIVER ST UNIT 103",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683662",
            "telephone_number": "802-310-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JULIA",
        "middle_name": "FRIEDMAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0084650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, VT

Sources for this page

Verify at the official NPI Registry.