Individual provider Active NPI

Kimberly Bair, LCSW

  • Clinical Social Worker
  • Craig, CO
National Provider Identifier
1891232989
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09927147 Issued in CO
Practice address
745 Russell St
Craig, CO 81625-2019
Phone
(970) 824-8233
NPI assigned
Jan 26, 2017
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209001434 CO Practitioner - Clinical Social Worker 8820467004 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LSW.0009920404COMDMental Health Counselor
09927147COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Rio Blanco County Health Service District CurrentSince Nov 14, 2022 Accepting new patients
Eastern Rio Blanco County Health Service District Current Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Nov 14, 2022 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDGAA
  • Direct secure messaging: kim.bair@nwcovna.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.