1. Home
  2. Directory
  3. California
  4. Lakewood
  5. Social Worker
  6. NPI Profile

KIM PRODGER LCSW
NPI 1114066404
Social Worker - Clinical in Lakewood, CA

Active since February 05, 2007PECOS Enrolled
4010 WATSON PLAZA DR, SUITE 285, LAKEWOOD, CA 90712(562) 497-1505(562) 497-1881 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Prodger Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM PRODGER LCSW (NPI 1114066404) is an individual clinical provider in Lakewood, California, licensed in California (LCS 12046) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114066404
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM PRODGERCredential: LCSW
Location Address4010 WATSON PLAZA DR, SUITE 285Lakewood, CA 90712-4037
Mailing Address4010 Watson Plaza Dr, Suite 285Lakewood, CA 90712-4037 · (562) 497-1505 · Fax (562) 497-1881
Phone(562) 497-1505
Fax(562) 497-1881
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114066404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS 12046
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4010 WATSON PLAZA DR, Lakewood, CA 90712
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Prodger Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE N GOMEZ
Counselor (Mental Health)
4010 WATSON PLAZA DR
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
JANE T. RIKIMARU LMFT
Marriage & Family Therapist
4010 WATSON PLAZA DR, SUITE 285
LAKEWOOD, CA 90712
Los Angeles County (562) 497-1505
MR. RICHARD CARL ROMERO B.A.
Counselor (Mental Health)
4010 WATSON PLAZA DR
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
MS. KENDRA VENETTA TANKERSLEY BS
Rehabilitation Practitioner
4010 WATSON PLAZA DR, 135
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
CRITTENTON SERVICES FOR CHILDREN AND FAMILIES
Community/Behavioral Health
4010 WATSON PLAZA DR
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7200
DR. ALLISON BLAIR WEISS PSY.D.
Psychologist (Clinical)
4010 WATSON PLAZA DR, SUITE 285
LAKEWOOD, CA 90712
Los Angeles County (562) 497-1505
MS. CHINA KEYONNIE GASSOWAY STEVENSON
Case Manager/Care Coordinator
4010 WATSON PLAZA DR, SUITE 135
LAKEWOOD, CA 90712
Los Angeles County (562) 421-7225
MISS CONSTANCE SHIN LMFT
Marriage & Family Therapist
4010 WATSON PLAZA DR, SUITE 285
LAKEWOOD, CA 90712
Los Angeles County (562) 497-1505

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 Kim Prodger's NPI number?

The NPI number for Kim Prodger is 1114066404. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Kim Prodger located?

Kim Prodger practices at 4010 Watson Plaza Dr Suite 285, Lakewood, CA 90712. The listed phone number is (562) 497-1505.

What is Kim Prodger's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kim Prodger enrolled in Medicare?

Yes. Kim Prodger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Prodger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.