Kimberly L Bakondi, LCSW
Individual provider Active NPI Clinical Social Worker · Halsey, OR
NPI 1992959548 · NPPES record last updated Dec 20, 2025
Key facts
- NPI
- 1992959548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L8119 (OR)
- Practice address
- 611 W 1St St
Halsey, OR 97348-9676 - Phone
- (541) 829-3537
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2300 14TH Ave SE
Albany, OR 97322-6800
Phone (541) 600-3939
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920003797 | OR | Practitioner - Clinical Social Worker | 2860846110 | Practice locations: Albany, OR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L8119 | OR | Yes |
Addresses
Primary practice location
611 W 1St St
Halsey, OR 97348-9676
Mailing address
611 W 1St St Apt a
Halsey, OR 97348-9677
Phone (541) 829-3537
Other providers in Halsey, OR
- Kianna Sharon Almeida
- Rodney Allen Baney
- Central Linn School District
- Joanne Chase
- Jessica R Meller
- Mid-Valley Healthcare, Inc.
All providers in Halsey, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.