KIMBERLY JO WARNER LCSW
NPI 1033736921
Social Worker - Clinical in Bradford, PA
About Kimberly Jo Warner Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY JO WARNER LCSW (NPI 1033736921) is an individual clinical provider in Bradford, Pennsylvania, licensed in New York (089635) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portville, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Jo Warner Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Warner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bradford, PA 16701
- Reassigned Medicare billing, Pennsylvania and New York enrollments
- Also billed through NPI 1184654477 (New York)
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRADFORD, PA 16701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Warner's NPI number?
The NPI number for Kimberly Warner is 1033736921. It was assigned to this individual provider in the NPPES registry on June 26, 2020.
Where is Kimberly Warner located?
Kimberly Warner practices at 159 Interstate Pkwy, Bradford, PA 16701. The listed phone number is (716) 375-7500.
What is Kimberly Warner's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kimberly Warner enrolled in Medicare?
Yes. Kimberly Warner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kimberly Warner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Warner reassigns Medicare benefits to Southern Tier Community Health Center Network, Inc. (Bradford, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Warner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Warner was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kimberly Jo Warner, LCSW · NPI 1033736921
Clinical provider in Bradford, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 26, 2020.
## Identity
- **NPI:** 1033736921 (Entity type: Individual)
- **Enumerated:** June 26, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 089635 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 159 INTERSTATE PKWY, Bradford, PA 16701-1013
- **Phone:** (716) 375-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern Tier Community Health Center Network, Inc. (NPI 1962399394, Bradford, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033736921) · Data from the CMS NPPES public registry.