Active NPI
Kimberly Gerardi, LCSW
- Clinical Social Worker
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05776700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05776700 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| The Osborn Family Health Center, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | 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
- 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.
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
-
- Family Medicine Physician
- Camden, NJ
- NPI 1528444254
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1730695305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.