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KIMBERLY MARIE BLACK LCSW
NPI 1215528955
Social Worker - Clinical in Farmington, MO

Active since January 26, 2021PECOS Enrolled
400 N WASHINGTON ST STE 130B, FARMINGTON, MO 63640(573) 944-0591 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Jan 26, 2021 (2 updates tracked since 2021).

About Kimberly Marie Black Lcsw NPPES

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

KIMBERLY MARIE BLACK LCSW (NPI 1215528955) is an individual clinical provider in Farmington, Missouri, licensed in Missouri (2019005809) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215528955
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY MARIE BLACKCredential: LCSW
Location Address400 N WASHINGTON ST STE 130BFarmington, MO 63640-1764
Mailing Address400 N Washington St Ste 130bFarmington, MO 63640-1764 · (573) 944-0591
Phone(573) 944-0591
Sole ProprietorYes
Enumeration DateJanuary 26, 2021
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1215528955 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 MO · 2019005809
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.
400 N WASHINGTON ST STE 130B, Farmington, MO 63640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Marie Black 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 63640 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 $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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

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

HEIDI ALLEN LCSW
Social Worker (Clinical)
400 N WASHINGTON ST STE 130B
FARMINGTON, MO 63640
St. Francois County (573) 535-9398

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 Black's NPI number?

The NPI number for Kimberly Black is 1215528955. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Kimberly Black located?

Kimberly Black practices at 400 N Washington St Ste 130B, Farmington, MO 63640. The listed phone number is (573) 944-0591.

What is Kimberly Black's specialty?

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

Is Kimberly Black enrolled in Medicare?

Yes. Kimberly Black is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Black accept?

Health plans from Medica, Oscar Insurance Company and Providence Health Plan list Kimberly Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Black was last updated on May 4, 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.