Individual provider Active NPI

Kimberly Anne Loustau

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1912325002
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018076 Issued in PA
Practice address
6232 Market St
Philadelphia, PA 19139-2922
Phone
(215) 444-7672
Fax
(267) 627-5873
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 CW018076 PA Primary

Addresses

Primary practice location

6232 Market St
Philadelphia, PA 19139-2922

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

764 S 15th St
Apt 1
Philadelphia, PA 19146-2136
Phone (609) 410-0165

Other names 1

  • Kimberly Abel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150713000478 PA Practitioner - Clinical Social Worker 9234441700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484

6232 Market St
Philadelphia, PA 19139-2922
Phone (215) 444-7672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018076PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC Clinical CurrentSince Mar 17, 2025 Accepting new patients
Resources for Human Development, Inc. CurrentSince May 5, 2015 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince May 5, 2015 Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

6232 Market St
Philadelphia, PA 19139
Phone (215) 444-7672

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721

6120 Woodland Ave
Fl 2
Philadelphia, PA 19142
Phone (215) 727-4721

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 6

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1912325002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392922",
            "telephone_number": "215-444-7672",
            "fax_number": "267-627-5873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "764 S 15th St",
            "address_2": "Apt 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191462136",
            "country_code": "US",
            "telephone_number": "609-410-0165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUSTAU",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ABEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.