Individual provider Active NPI

Kimberly Gerardi, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1982265419
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05776700 Issued in NJ
Practice address
1301 Springdale Rd
Cherry Hill, NJ 08003-2763
Phone
(856) 424-1333
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 44SC05776700 NJ Primary

Addresses

Primary practice location

1301 Springdale Rd
Cherry Hill, NJ 08003-2763

Mailing address

1301 Springdale Rd
Cherry Hill, NJ 08003-2763
Phone (856) 424-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190802000501 NJ Practitioner - Clinical Social Worker 0345576021 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05776700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Apr 24, 2023 Accepting new patients
The Osborn Family Health Center, Inc. CurrentSince Jun 21, 2021 Accepting new patients
Community Health Care, Inc. CurrentSince Apr 24, 2023 Accepting new patients
The Osborn Family Health Center, Inc. Current Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

1601 Haddon Ave
Camden, NJ 08103
Phone (856) 757-3700

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72983

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1982265419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "856-424-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "856-424-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDI",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05776700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.