Kimberly D Stricker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW01238 Issued in TN

Practice address

8507 Streamside Dr
Ooltewah, TN 37363-9468

Phone

(423) 902-3621

Fax

(423) 510-1888

NPI assigned

Dec 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, GA2 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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.stricker.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  GA

  Medicare reassignment NPD
• Behavioral Health Associates P C

  • Psychiatry Physician
  • Chattanooga, TN
  • NPI 1649255514
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1962487694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 STREAMSIDE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639468",
            "telephone_number": "423-902-3621",
            "fax_number": "423-510-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 STREAMSIDE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639468",
            "telephone_number": "423-902-3621",
            "fax_number": "423-510-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKER",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW01238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3069671",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3920712",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Steineckechristofferson, DC
• William C. Stevens, D.O.
• Briana Abigail Mariah Stock, APRN, NP-C
• Alexandrea Stockburger, RN
• Jill Stone, PT
• Leah Ann Sturtevant, P.T.
• Sviatoslav Bouz DDS
• Cole Szabo, LADAC II
• T.a.B Health Services
• Megan K Taylor, MTBC

• Clinical Social Worker in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.