Active NPI
Kimberly A Foreman, LISW-S
- Clinical Social Worker
- Cuyahoga Falls, OH
National Provider Identifier
1982269296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1100893
- Practice address
- 207 Portage Trail Ext W
Cuyahoga Falls, OH 44223-1330 - Phone
- (888) 227-6543
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 | I.1100893 | OH | Primary |
Addresses
Primary practice location
207 Portage Trail Ext W
Cuyahoga Falls, OH 44223-1330
Mailing address
388 Eastwood Ave
Tallmadge, OH 44278-3125
Phone (606) 367-4926
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kforeman@harborlighthospice.com | Direct | Harbor Light Hospice LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1100893 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1982269296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 EASTWOOD AVE",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442783125",
"telephone_number": "606-367-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 PORTAGE TRAIL EXT W",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231330",
"telephone_number": "888-227-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1100893",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kforeman@harborlighthospice.com",
"affiliation": "Y",
"affiliationName": "Harbor Light Hospice LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "207 Portage Trail Ext W",
"city": "Cuyahoga Falls",
"state": "OH",
"country_code": "US",
"postal_code": "442231330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.