Individual provider Active NPI

Kimberly Beth Vensel, LSW

  • Social Worker
  • Hanover, PA
National Provider Identifier
1851684070
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW005243E Issued in PA
Practice address
1201 W Elm Ave
Unit 2
Hanover, PA 17331-4600
Phone
(717) 632-8400
Fax
(717) 632-9300
NPI assigned
May 20, 2011
Last updated
May 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW005243E PA Primary

Addresses

Primary practice location

1201 W Elm Ave
Unit 2
Hanover, PA 17331-4600

Mailing address

825 York Rd
Carlisle, PA 17015-9253
Phone (717) 249-7969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW005243EPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Health Solutions, LLC PastSince Apr 21, 2013 Accepting new patients

Organizations & group practices 1

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1851684070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 YORK RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159253",
            "telephone_number": "717-249-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W ELM AVE",
            "address_2": "UNIT 2",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173314600",
            "telephone_number": "717-632-8400",
            "fax_number": "717-632-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENSEL",
        "first_name": "KIMBERLY",
        "middle_name": "BETH",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW005243E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.