Individual provider Active NPI

Kimberly Noelle Balser, LICSW

  • Clinical Social Worker
  • Woonsocket, RI
National Provider Identifier
1881876753
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01873 Issued in RI
Practice address
181 Cumberland St
Woonsocket, RI 02895-3301
Phone
(401) 235-7000
NPI assigned
Dec 3, 2007
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 ISW01873 RI Primary

Addresses

Primary practice location

181 Cumberland St
Woonsocket, RI 02895-3301

Mailing address

1158 Hartford Ave
Johnston, RI 02919-7111

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • 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
I20080212000727 RI Practitioner - Clinical Social Worker 0244313310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Behavioral Health IncGroup PAC ID 4082528245, 44 clinicians

Practice addresses (Care Compare)

50 Health LN
Warwick, RI 02886-2711
Phone (401) 732-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Aug 2, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Aug 2, 2025 Accepting new patients
Community Care Alliance PastSince Feb 25, 2002 Accepting new patients

Locations

400 Massasoit Ave
Ste 305
East Providence, RI 02914
Phone (401) 268-5218

Organizations & group practices 4

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1881876753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CUMBERLAND ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953301",
            "telephone_number": "401-235-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSER",
        "first_name": "KIMBERLY",
        "middle_name": "NOELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.