Active NPI
Kimberly Bair, LCSW
- Clinical Social Worker
- Craig, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09927147
- Practice address
- 745 Russell St
Craig, CO 81625-2019 - Phone
- (970) 824-8233
- NPI assigned
- Jan 26, 2017
- Last updated
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LSW.0009920404 | CO | |
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | 09927147 | CO | Primary |
Addresses
Primary practice location
745 Russell St
Craig, CO 81625-2019
Mailing address
745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233
Other practice location 1
439 Breeze St Ste 200
Craig, CO 81625
Phone (970) 824-6541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Pioneers Medical Ctr Dr
Meeker, CO 81641-3181
Phone (970) 878-5047
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009920404 | CO | MD | Mental Health Counselor |
| 09927147 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Rio Blanco County Health Service District | Current | Accepting new patients | |
| Eastern Rio Blanco County Health Service District | Current | Accepting new patients | |
| Eastern Rio Blanco County Health Service District | Current | Accepting new patients | |
| Northwest Colorado Visting Nurse Association | Past | Accepting new patients | |
| Northwest Colorado Visiting Nurse Association | Past | Accepting new patients | |
| Northwest Colorado Visiting Nurse Association | Past | Accepting new patients | |
| Northwest Colorado Visiting Nurse Association | Past | Accepting new patients |
Locations
100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJDGAA
- kim.bair@nwcovna.eclinicaldirectplus.com
- kimberly.bair.1@31155.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba Meeker Family Health Center
- Rural Health Clinic/Center
- Meeker, CO
- NPI 1902900269
-
dba Pioneers Medical Center
- Critical Access Hospital
- Meeker, CO
- NPI 1801874771
-
dba Colorado Advanced Orthopedics Sports Medicine and Spine
- Multi-Specialty Clinic/Center
- Meeker, CO
- NPI 1982302022
-
dba Northwest Colorado Health Dental Clinic - South Routt
- Federally Qualified Health Center (FQHC)
- Oak Creek, CO
- NPI 1225528151
-
dba Northwest Colorado Health
- Federally Qualified Health Center (FQHC)
- Steamboat Springs, CO
- NPI 1265787857
-
dba Northwest Colorado Health Dental Clinic
- Federally Qualified Health Center (FQHC)
- Craig, CO
- NPI 1295268761
-
dba Northwest Colorado Health
- Federally Qualified Health Center (FQHC)
- Craig, CO
- NPI 1063663292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1891232989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 RUSSELL ST",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252019",
"telephone_number": "970-824-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 RUSSELL ST",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252019",
"telephone_number": "970-824-8233"
}
],
"practiceLocations": [
{
"address_1": "439 Breeze St Ste 200",
"address_purpose": "LOCATION",
"city": "Craig",
"state": "CO",
"postal_code": "81625",
"country_code": "US",
"telephone_number": "970-824-6541",
"fax_number": "970-824-0313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIR",
"first_name": "KIMBERLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LSW.0009920404",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09927147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.