Kimberly Bruns, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014495 Issued in PA

Practice address

1011 Brookside Rd Ste 122
Allentown, PA 18106-9020

Phone

(610) 569-0252

Fax

(484) 460-2470

NPI assigned

Jan 15, 2013

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

Other names 1

• Kimberly Moritz Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Liberty Lane Counseling LLPGroup PAC ID 1254718489, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Liberty Lane Counseling LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Allentown, PA
  • NPI 1679227110

  Clinical

  Medicare reassignment Care Compare group NPD
• West End Counseling & Wellness, LLC

  • Clinical Psychologist
  • Allentown, PA
  • NPI 1528547387
  Medicare reassignment NPD

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1891032579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WILLOW ST",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621014",
            "telephone_number": "484-221-3692",
            "fax_number": "484-460-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BROOKSIDE RD STE 122",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069020",
            "telephone_number": "610-569-0252",
            "fax_number": "484-460-2470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Willow St",
            "address_purpose": "LOCATION",
            "city": "Macungie",
            "state": "PA",
            "postal_code": "180621014",
            "country_code": "US",
            "telephone_number": "484-221-3692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1259 S Cedar Crest Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036376",
            "country_code": "US",
            "telephone_number": "610-402-5900",
            "fax_number": "610-402-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "KIMBERLY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MORITZ",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerrold Lee Brucker, LCSW
• Jane Brunn, M.S., CCC-SLP/L
• Dante Bruno, MS, LPC
• Frank A. Bruno, CRNA
• John P Bruno, DO
• George Brusseler, PT
• Jessica E Bryan, LPC
• Laura Elizabeth Bryan, PA-C
• Robert Kessler Bryan, D.D.S., M.S.
• Susan Elizabeth Bryant Sutter, CRNP

• Clinical Social Worker in Allentown, PA
• Providers in Allentown, 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 Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.