Individual provider Active NPI

Kimberly L Bakondi, LCSW

  • Clinical Social Worker
  • Halsey, OR
National Provider Identifier
1992959548
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8119 Issued in OR
Practice address
611 W 1St St
Halsey, OR 97348-9676
Phone
(541) 829-3537
NPI assigned
Nov 10, 2008
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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 L8119 OR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230920003797 OR Practitioner - Clinical Social Worker 2860846110 Practice locations: Albany, OR

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1992959548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W 1ST ST APT A",
            "city": "HALSEY",
            "state": "OR",
            "postal_code": "973489677",
            "telephone_number": "541-829-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W 1ST ST",
            "city": "HALSEY",
            "state": "OR",
            "postal_code": "973489676",
            "telephone_number": "541-829-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKONDI",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halsey, OR

Sources for this page

Verify at the official NPI Registry.