Individual provider Active NPI

Rebecca Kimmons, LMSW

  • Social Worker
  • Salisbury, MD
National Provider Identifier
1992504559
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
32133 Issued in MD
Practice address
120 South Blvd
Salisbury, MD 21804-6465
Phone
(410) 210-9000
NPI assigned
Mar 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 32133 MD Primary

Addresses

Primary practice location

120 South Blvd
Salisbury, MD 21804-6465

Mailing address

1505 Emerson Ave
Salisbury, MD 21801-3220
Phone (410) 219-9000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32133MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Health Services, Inc. CurrentSince Mar 11, 2025 Accepting new patients
Hudson Health Services, Inc. CurrentSince Mar 11, 2025 Accepting new patients

Locations

1505 Emerson Ave
Salisbury, MD 21801
Phone (410) 219-9000

120 South Blvd
Salisbury, MD 21804
Phone (410) 210-9000

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1992504559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EMERSON AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013220",
            "telephone_number": "410-219-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046465",
            "telephone_number": "410-210-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMONS",
        "first_name": "REBECCA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "32133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.