Individual provider Active NPI

Kimberly Lauren Bonds Grocher, LCSW

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1912145434
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079475 Issued in NY
Practice address
280 Dobbs Ferry Rd Ste 102
White Plains, NY 10607-1908
Phone
(646) 760-7921
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 078644 NY
Clinical Social Worker 1041C0700X 079475 NY Primary

Addresses

Primary practice location

280 Dobbs Ferry Rd Ste 102
White Plains, NY 10607-1908

Mailing address

429 E Prospect Ave
Mount Vernon, NY 10553-1124
Phone (301) 529-9425

Other names 1

  • Miss Kimberly Lauren Bonds Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
079475NYMDClinical Social Worker
078644NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life by Design Therapeutic & Coaching Services PLLC Clinical CurrentSince May 25, 2021 Accepting new patients

Locations

280 Dobbs Ferry Rd
Ste 102
White Plains, NY 10607
Phone (914) 263-1927

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1912145434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E PROSPECT AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531124",
            "telephone_number": "301-529-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DOBBS FERRY RD STE 102",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071908",
            "telephone_number": "646-760-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCHER",
        "first_name": "KIMBERLY",
        "middle_name": "LAUREN BONDS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BONDS",
            "middle_name": "LAUREN",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.