Kimberly Nelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

900 W Valley Rd Ste 703
Wayne, PA 19087-1849

Phone

(484) 808-7671

NPI assigned

May 9, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1871082404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 MAPLESHADE RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031821",
            "telephone_number": "626-244-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W VALLEY RD STE 703",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871849",
            "telephone_number": "484-808-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Haverford Rd",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411139",
            "country_code": "US",
            "telephone_number": "610-664-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Salt Nath, PT
• NC Battafarano, MD PC
• Toby G Needleman
• Neff-Wayne Enterprise,Inc.
• Ann Mastoloni Nelligan
• Samantha Rae Nelson
• Arthur Nemchenko, DC
• Neuman Dental Associates
• Neal Samuel Neuman, D.M.D.
• Neuroanalytics LLC

• Clinical Social Worker in Wayne, PA
• Providers in Wayne, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.