Julia Friedman Kimball, LICSW
Individual provider Active NPI Clinical Social Worker · Milton, VT
NPI 1831542075 · NPPES record last updated Apr 24, 2018
Key facts
- NPI
- 1831542075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089-0084650 (VT)
- Practice address
- 160 River St Unit 103
Milton, VT 05468-3662 - Phone
- (802) 310-7091
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160929002058 | VT | Practitioner - Clinical Social Worker | 8820385172 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0084650 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Heart Counseling PLC | Clinical | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0084650 | VT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027825 | Medicaid | VT |
Other providers in Milton, VT
- Nancy Kelley
- Sam Ketaneh
- Sarah A Kieslich
- Wyatt Kilburn
- Jessica Kim
- John G King
- Tyler King
- Edward Rowe Klingebiel
- Annie Koch
- Tami Koester
All providers in Milton, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.