KIMBERLY PORTER LMSW
NPI 1396520987
Social Worker in Idaho Falls, ID

Active since August 30, 2023PECOS Enrolled
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404(208) 932-7048 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Porter Lmsw NPPES

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

KIMBERLY PORTER LMSW (NPI 1396520987) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW-44057) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396520987
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKIMBERLY PORTERCredential: LMSW
Location Address1908 JENNIE LEE DRIdaho Falls, ID 83404-6159
Mailing Address1908 Jennie Lee DrIdaho Falls, ID 83404-6159 · (208) 932-7048
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
NPI 1396520987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in ID · LMSW-44057
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1908 JENNIE LEE DR, Idaho Falls, ID 83404

Accepted 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 Porter Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749758126
PECOS Enrollment IDI20260504007793
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.

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Case Management
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Counselor (Mental Health)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404

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 Porter's NPI number?

The NPI number for Kimberly Porter is 1396520987. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Kimberly Porter located?

Kimberly Porter practices at 1908 Jennie Lee Dr, Idaho Falls, ID 83404. The listed phone number is (208) 932-7048.

What is Kimberly Porter's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kimberly Porter enrolled in Medicare?

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

What insurance does Kimberly Porter accept?

Health plans from Select Health list Kimberly Porter 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 Porter was last updated on August 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.