Kimberley Passidomo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019199 Issued in PA

Practice address

600 Haverford Rd Ste G101
Haverford, PA 19041-1139

Phone

(610) 649-1080

NPI assigned

Sep 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Art of Friendship Social Skills Program, PC

  • Mental Health Counselor
  • Haverford, PA
  • NPI 1801012711
  NPD

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1891676714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 WEBSTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432629",
            "telephone_number": "267-575-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HAVERFORD RD STE G101",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411139",
            "telephone_number": "610-649-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSIDOMO",
        "first_name": "KIMBERLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Otto, DPT
• Oxycare Inc.
• Nicole Recchilongo Palman
• Judith Max Palmer, LCSW
• Sheree Parker, MHS, LSW
• Russell E Phillips, M.D.
• Theresa Marie Pileggi, CRNP
• Corinne Piotrowski, DPT
• Plastic & Reconstructive Surgery Assoc LTD
• Heather Ryan Plunkett, LAPC, MS

• Clinical Social Worker in Haverford, PA
• Providers in Haverford, 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 Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.