Individual provider Active NPI

Kimberley Nicole Abrams-Grove, LCSW

  • Clinical Social Worker
  • Burbank, CA
National Provider Identifier
1932374162
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19846 Issued in CA
Practice address
4001 W Alameda Ave Ste 205
Burbank, CA 91505-4338
Phone
(323) 333-9595
NPI assigned
Apr 29, 2008
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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 LCS19846 CA Primary

Addresses

Primary practice location

4001 W Alameda Ave Ste 205
Burbank, CA 91505-4338

Mailing address

4001 W Alameda Ave Ste 205
Burbank, CA 91505-4338
Phone (323) 333-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 25, 2023 through Aug 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS19846CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1932374162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W ALAMEDA AVE STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054338",
            "telephone_number": "323-333-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W ALAMEDA AVE STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054338",
            "telephone_number": "323-333-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS-GROVE",
        "first_name": "KIMBERLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.