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KIMBERLEY SIMON LCSW
NPI 1396046777
Social Worker - Clinical in Tybee Island, GA

Active since November 16, 2010PECOS Enrolled
404 C MILLER AVENUE, TYBEE ISLAND, GA 31328(330) 550-3347 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberley Simon Lcsw NPPES

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

KIMBERLEY SIMON LCSW (NPI 1396046777) is an individual clinical provider in Tybee Island, Georgia, licensed in Georgia (CSW004497) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1396046777
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLEY SIMONCredential: LCSW
Location Address404 C MILLER AVENUETybee Island, GA 31328
Mailing AddressPo Box 1782Tybee Island, GA 31328-1782
Phone(330) 550-3347
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 16, 2010
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1396046777 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 GA · CSW004497✔ Licensed in OH · I1000299
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.
404 C MILLER AVENUE, Tybee Island, GA 31328
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9638358617
PECOS Enrollment IDI20130717000598
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 31328 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Kimberley Simon's NPI number?

The NPI number for Kimberley Simon is 1396046777. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Kimberley Simon located?

Kimberley Simon practices at 404 C Miller Avenue, Tybee Island, GA 31328. The listed phone number is (330) 550-3347.

What is Kimberley Simon's specialty?

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

Is Kimberley Simon enrolled in Medicare?

Yes. Kimberley Simon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberley Simon was last updated on April 23, 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.