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KIMBERLY CLOUGH LCSW
NPI 1306246210
Social Worker - Clinical in Longview, TX

Active since August 27, 2014PECOS Enrolled
1010 TRISTAN LN, LONGVIEW, TX 75604(903) 918-6574(903) 704-0980 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2024, Mar 17, 2018 (2 updates tracked since 2018).

About Kimberly Clough Lcsw NPPES

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

KIMBERLY CLOUGH LCSW (NPI 1306246210) is an individual clinical provider in Longview, Texas, licensed in Texas (59013) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1306246210
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY CLOUGHCredential: LCSW
Location Address1010 TRISTAN LNLongview, TX 75604-1862
Mailing Address1121 Judson Rd Ste 182Longview, TX 75601-5199 · (903) 309-0960 · Fax (903) 309-1630
Phone(903) 918-6574
Fax(903) 704-0980
Sole ProprietorYes
Enumeration DateAugust 27, 2014
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1306246210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 59013
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 59013 (TX)
1010 TRISTAN LN, Longview, TX 75604
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Secondary Practice Location 1

Location 11201 Webster StLongview, TX 75602-5046 · Phone (903) 918-6574

Other Identifiers 1

Medicaid373636501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Clough 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Clough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sabine Valley Regional Mhmr Center
2.8 mi
Mental Health (Including Community Mental Health Center)
107 WOODBINE PL
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1639232002 (903) 758-2471

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 75604 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 $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

FAITHFULLY RESTORED
Social Worker (Clinical)
1010 TRISTAN LN
LONGVIEW, TX 75604
Gregg County (903) 918-6574

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 Clough's NPI number?

The NPI number for Kimberly Clough is 1306246210. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Kimberly Clough located?

Kimberly Clough practices at 1010 Tristan Ln, Longview, TX 75604. The listed phone number is (903) 918-6574.

What is Kimberly Clough's specialty?

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

Is Kimberly Clough enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Clough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Clough reassigns Medicare benefits to Sabine Valley Regional Mhmr Center (Longview, TX). 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 Clough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Clough accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Kimberly Clough 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 Clough was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.