Individual provider Active NPI

Kimberly Anne Yamas, LCSW-C

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1952340234
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11331 Issued in MD
Practice address
2 Hamill Rd, St 332
Baltimore, MD 21210-1813
Phone
(443) 266-2270
Fax
(888) 835-6363
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11331 MD
Social Worker 104100000X 11331 MD Primary

Addresses

Primary practice location

2 Hamill Rd, St 332
Baltimore, MD 21210-1813

Mailing address

4407 Meadowcliff Rd.
Glen Arm, MD 21057-9535
Phone (443) 266-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20201012000016 MD Practitioner - Clinical Social Worker 5698753473 Reassigns benefits to 1 organization
Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Soup Counseling LLCGroup PAC ID 9032538137, 11 clinicians

Practice addresses (Care Compare)

2 Hamill Rd
Suite 332
Baltimore, MD 21210-1813
Phone (443) 266-2270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11331MDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Soup Counseling, LLC Clinical CurrentSince Sep 1, 2020 Accepting new patients
Stone Soup Counseling, LLC Clinical CurrentSince Sep 1, 2020 Accepting new patients

Locations

2 Hamill Rd
Ste 332
Baltimore, MD 21210
Phone (443) 226-2270

4800 Roland Ave
Ste 300
Baltimore, MD 21210
Phone (410) 804-1738

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1952340234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MEADOWCLIFF RD.",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579535",
            "telephone_number": "443-266-2270",
            "fax_number": "888-835-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD, ST 332",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101813",
            "telephone_number": "443-266-2270",
            "fax_number": "888-835-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAS",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11331",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "11331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.