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KIMARIE BOERGER KNOWLES LCSW
NPI 1124200191
Social Worker - Clinical in New York, NY

Active since December 03, 2007Opted out of Medicare · through Apr 1, 2028
131 7TH AVE # 356, NEW YORK, NY 10011(917) 701-4687 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Feb 7, 2023, Dec 14, 2022 (3 updates tracked since 2022).

About Kimarie Boerger Knowles Lcsw NPPES

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

KIMARIE BOERGER KNOWLES LCSW (NPI 1124200191) is an individual clinical provider in New York, New York, licensed in New York (078142) and active in the NPI registry since December 2007. She has opted out of Medicare through April 1, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124200191
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMARIE BOERGER KNOWLESCredential: LCSW
Location Address131 7TH AVE # 356New York, NY 10011-1802
Mailing Address131 7th Ave # 356New York, NY 10011-1802 · (917) 701-4687
Phone(917) 701-4687
Sole ProprietorYes
Enumeration DateDecember 3, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1124200191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 078142✔ Licensed in NJ · 44SC05603400✔ Licensed in PA · CW023438
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.
131 7TH AVE # 356, New York, NY 10011
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Secondary Practice Locations 2

Location 158 Willow TerHoboken, NJ 07030-2813 · Phone (917) 701-4687
Location 219 W 34th StNew York, NY 10001-3006 · Phone (917) 701-4687

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimarie Boerger Knowles Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

ILLUMINE COUNSELING LCSW PLLC
Social Worker (Clinical)
131 7TH AVE # 356
NEW YORK, NY 10011
New York County (646) 470-1231

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 Kimarie Knowles's NPI number?

The NPI number for Kimarie Knowles is 1124200191. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Kimarie Knowles located?

Kimarie Knowles practices at 131 7th Ave # 356, New York, NY 10011. The listed phone number is (917) 701-4687.

What is Kimarie Knowles's specialty?

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

Is Kimarie Knowles enrolled in Medicare?

No. Kimarie Knowles has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimarie Knowles was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.