Kimberliah Woods, CEO,MT-MSW, CCM,CCHW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

760 E 92ND Ave
Merrillville, IN 46410-8123

Phone

(219) 746-9094

Fax

(219) 472-0926

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PK Consultants, LLC

  • Case Management Agency
  • Merrillville, IN
  • NPI 1568009264
  NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1831867720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 E 92ND AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108123",
            "telephone_number": "219-337-9826",
            "fax_number": "219-472-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 E 92ND AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108123",
            "telephone_number": "219-746-9094",
            "fax_number": "219-472-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KIMBERLIAH",
        "name_prefix": "Ms.",
        "credential": "CEO,MT-MSW, CCM,CCHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IN",
            "license": "ET04422",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkconsultants.llc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "pkconsultants.llc@outlook.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "760 E 92nd Ave",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464108123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine M. Wong, D. D. S.
• Joshua William Ancel Wood, DNP, FNP-C
• Judson Booker Wood, M.D.
• Robert T Woodburn III, MD
• Dennis Woods
• Susan C Woods
• Woon Jung Kang, DDS, LTD
• Workcare Occupational Health LLC
• Kaye A Workman, LSW
• Deborah Wright

• All providers in Merrillville, IN
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.