Individual provider Active NPI

Kimberly Ann Thornton, L.C.S.W

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1891127312
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 28122 Issued in CA
Practice address
1443 N Ivy St
Escondido, CA 92026-2722
Phone
(619) 808-7909
NPI assigned
Aug 7, 2013
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 LCS 28122 CA Primary

Addresses

Primary practice location

1443 N Ivy St
Escondido, CA 92026-2722

Mailing address

1443 N Ivy St
Escondido, CA 92026-2722
Phone (619) 808-7909

Other names 1

  • Kimberly Ann Hunziker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210923000996 CA Practitioner - Clinical Social Worker 6406253137 Reassigns benefits to 1 organization
Practice locations: Escondido, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Escondido, CA 92026
Phone (619) 808-7909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 28122CAMDClinical Social Worker
28122CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Psych Services Inc CurrentSince Mar 30, 2025 Accepting new patients
Balanced Therapy Kimberly Thornton Sole Member Clinical CurrentSince Sep 9, 2023 Accepting new patients
Redwood Community Action Agency Past Accepting new patients
Mark David Levine, MD Burlingame PC PastSince May 1, 2021 Accepting new patients

Locations

801 S Grand Ave
Ste 475
Los Angeles, CA 90017
Phone (310) 871-0670

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1891127312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 N IVY ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262722",
            "telephone_number": "619-808-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N IVY ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262722",
            "telephone_number": "619-808-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 28122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HUNZIKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.