Individual provider Active NPI

Kimberly Anne Rasmussen, LCSW

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1952923534
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16210 Issued in CA
Practice address
1427 7TH St
Santa Monica, CA 90401-2267
Phone
(720) 663-8482
NPI assigned
May 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20033 AZ
Clinical Social Worker 1041C0700X 149.023907 IL
Clinical Social Worker 1041C0700X 00991377 CO
Clinical Social Worker 1041C0700X 16210 CA Primary

Addresses

Primary practice location

1427 7TH St
Santa Monica, CA 90401-2267

Mailing address

1427 7TH St
Santa Monica, CA 90401-2267
Phone (720) 663-8482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, IL, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210223002441 CO Practitioner - Clinical Social Worker 3072928159 Reassigns benefits to 1 organization
I20220909002941 AZ Practitioner - Clinical Social Worker 3072928159 Reassigns benefits to 1 organization
I20260608003411 IL Practitioner - Clinical Social Worker 3072928159 Reassigns benefits to 1 organization
I20260616003718 CA Practitioner - Clinical Social Worker 3072928159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20033AZMDClinical Social Worker
16210CAMDClinical Social Worker
00991377COMDClinical Social Worker
149.023907ILMDClinical Social Worker

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": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1952923534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 7TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012267",
            "telephone_number": "720-663-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 7TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012267",
            "telephone_number": "720-663-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "20033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00991377",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.