Individual provider Active NPI

Hannah Jane Kimler

  • Clinical Social Worker
  • Natick, MA
National Provider Identifier
1871228676
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
225004 Issued in MA
Practice address
49 Algonquian Dr
Natick, MA 01760-6094
Phone
(774) 270-1288
NPI assigned
Jul 18, 2022
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 225004 MA Primary

Addresses

Primary practice location

49 Algonquian Dr
Natick, MA 01760-6094

Mailing address

49 Algonquian Dr
Natick, MA 01760-6094
Phone (774) 270-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • 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
I20221208001135 MA Practitioner - Clinical Social Worker 4183093487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225004MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Corf Psychology Group LLC Clinical CurrentSince Sep 27, 2022 Accepting new patients

Locations

4 S Main St
Ste 9
Ipswich, MA 01938
Phone (978) 704-1212

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1871228676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ALGONQUIAN DR",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017606094",
            "telephone_number": "774-270-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ALGONQUIAN DR",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017606094",
            "telephone_number": "774-270-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMLER",
        "first_name": "HANNAH",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.