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MRS. KIMBERLY PATTERSON MISHRIKY LCSW
NPI 1396994455
Social Worker - Clinical in East Hartford, CT

Active since September 15, 2008PECOS Enrolled
15 MERCER AVE, SCHOOL BASED HEALTH CENTER, EAST HARTFORD, CT 06118(860) 622-5513 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kimberly Patterson Mishriky Lcsw NPPES

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

MRS. KIMBERLY PATTERSON MISHRIKY LCSW (NPI 1396994455) is an individual clinical provider in East Hartford, Connecticut and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1396994455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KIMBERLY PATTERSON MISHRIKYCredential: LCSW
Location Address15 MERCER AVE, SCHOOL BASED HEALTH CENTEREast Hartford, CT 06118-1517
Mailing Address10 Candlelight DrGlastonbury, CT 06033-2537 · (860) 633-3595
Phone(860) 622-5513
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 15, 2008
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1396994455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
15 MERCER AVE, East Hartford, CT 06118
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Other Identifiers 1

Other006850CT · State Licence

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Patterson Mishriky Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810257557
PECOS Enrollment IDI20180129000911
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 Mishriky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intercommunity, Inc.
1.2 mi
Primary Care
281 MAIN STREET
East Hartford, CT 06118
  • Reassigned Medicare billing, Connecticut enrollment
  • 78 clinicians in this Medicare group
NPI 1073548533 (860) 569-5900

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 06118 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 3

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

MRS. COURTNEY ANN GREEN RDH
Dental Hygienist
15 MERCER AVE
EAST HARTFORD, CT 06118
Capitol Planning Region (860) 622-5514
BONNIE GIARDINI RDH, BS
Dental Hygienist
15 MERCER AVE
EAST HARTFORD, CT 06118
Capitol Planning Region (860) 622-5514
MS. AMANDA BERNARTZ RDH
Dental Hygienist
15 MERCER AVE
EAST HARTFORD, CT 06118
Capitol Planning Region (860) 622-5514

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 Mishriky's NPI number?

The NPI number for Kimberly Mishriky is 1396994455. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Kimberly Mishriky located?

Kimberly Mishriky practices at 15 Mercer Ave School Based Health Center, East Hartford, CT 06118. The listed phone number is (860) 622-5513.

What is Kimberly Mishriky's specialty?

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

Is Kimberly Mishriky enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Mishriky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mishriky reassigns Medicare benefits to Intercommunity, Inc. (East Hartford, CT). 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 Mishriky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Mishriky was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.