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MS. KIMBERLY SHAWN UNDERDUE LCSW
NPI 1356575476
Social Worker - Clinical in Stockbridge, GA

Active since May 04, 2009PECOS Enrolled
165 BURKE ST, SUITE 109, STOCKBRIDGE, GA 30281(770) 389-9886 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kimberly Shawn Underdue Lcsw NPPES

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

MS. KIMBERLY SHAWN UNDERDUE LCSW (NPI 1356575476) is an individual clinical provider in Stockbridge, Georgia, licensed in Georgia (CSW004368) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356575476
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIMBERLY SHAWN UNDERDUECredential: LCSW
Location Address165 BURKE ST, SUITE 109Stockbridge, GA 30281-3463
Mailing Address1071 Laurel Ridge DrMcdonough, GA 30252-8432 · (678) 851-9509 · Fax (678) 623-3748
Phone(770) 389-9886
Sole ProprietorYes
Enumeration DateMay 4, 2009
Last NPPES UpdateDecember 14, 2010
✔ NPI 1356575476 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 GA · CSW004368
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.
165 BURKE ST, Stockbridge, GA 30281
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Other Identifiers 1

Medicaid315091169AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Ms. Kimberly Shawn Underdue 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 Reassignments

2

Medicare enrollment records show Kimberly Underdue reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sailor Health Medical PA
588 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333
Grow Healthcare Group PA
588 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia and Michigan enrollments
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 30281 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 7

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

MS. NIEFA ANTOINETTE TAYLOR LPC
Counselor (Professional)
165 BURKE ST, SUITE 109
STOCKBRIDGE, GA 30281
Henry County (404) 563-5189
LAKENDRA SHANDRELL BAKER LPC
Counselor (Professional)
165 BURKE ST, STE 109
STOCKBRIDGE, GA 30281
Henry County (678) 437-4557
GIDEON CHIROPRACTIC INCORPORATED
Chiropractor
165 BURKE ST, SUITE 105
STOCKBRIDGE, GA 30281
Henry County (770) 389-4724
UNDERDUE SOCIAL SERVICES
Exclusive Provider Organization
165 BURKE ST
STOCKBRIDGE, GA 30281
Henry County (770) 389-9886
DR. DURIE DELANO HUMBER JR. D.C.
Chiropractor
165 BURKE ST, SUITE 105
STOCKBRIDGE, GA 30281
Henry County (770) 389-4724
JABBOK CONSULTING LLC
Counselor
165 BURKE ST, SUITE 109
STOCKBRIDGE, GA 30281
Henry County (678) 437-4557
UNDERDUE SOCIAL SERVICES
Community/Behavioral Health
165 BURKE ST, SUITE 109
STOCKBRIDGE, GA 30281
Henry County (770) 389-9886

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 Underdue's NPI number?

The NPI number for Kimberly Underdue is 1356575476. It was assigned to this individual provider in the NPPES registry on May 4, 2009.

Where is Kimberly Underdue located?

Kimberly Underdue practices at 165 Burke St Suite 109, Stockbridge, GA 30281. The listed phone number is (770) 389-9886.

What is Kimberly Underdue's specialty?

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

Is Kimberly Underdue enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Underdue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Underdue reassigns Medicare benefits to 2 organizations: Sailor Health Medical PA (Coral Gables, FL) and Grow Healthcare Group PA (Miami, FL). Each 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 Underdue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Underdue accept?

Health plans from UnitedHealthcare list Kimberly Underdue 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 Underdue was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.