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MR. MICHAEL DALE KIMMEL LCSW
NPI 1508967985
Social Worker - Clinical in San Diego, CA

Active since September 26, 2006Opted out of Medicare · through Apr 1, 2028
5100 MARLBOROUGH DR, SAN DIEGO, CA 92116(619) 582-0771(619) 584-4697 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Dale Kimmel Lcsw NPPES

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

MR. MICHAEL DALE KIMMEL LCSW (NPI 1508967985) is an individual clinical provider in San Diego, California, licensed in California (LCSW#20738) and active in the NPI registry since September 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508967985
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL DALE KIMMELCredential: LCSW
Location Address5100 MARLBOROUGH DRSan Diego, CA 92116-2020
Mailing Address5100 Marlborough DrSan Diego, CA 92116-2020 · (619) 582-0771 · Fax (619) 584-4697
Phone(619) 582-0771
Fax(619) 584-4697
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508967985 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 CA · LCSW#20738
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.
5100 MARLBOROUGH DR, San Diego, CA 92116
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Michael Dale Kimmel Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92116 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 18

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

ESMERALDA SOLORZANO CHRISTENSEN MFT, LPCC
Marriage & Family Therapist
5100 MARLBOROUGH DR
SAN DIEGO, CA 92116
San Diego County (619) 567-7399
SHANNON LINZER DPT
Physical Therapist
5100 MARLBOROUGH DR, STE 101
SAN DIEGO, CA 92116
San Diego County (619) 547-0899
MS. SUZANNE KOCH ECKENRODE M.F.T.
Counselor (Mental Health)
5100 MARLBOROUGH DR
SAN DIEGO, CA 92116
San Diego County (619) 405-6180
ANNA DOWD
Marriage & Family Therapist
5100 MARLBOROUGH DR
SAN DIEGO, CA 92116
San Diego County (619) 567-7399
MS. PAULA MARY BUCKLEY M.F.T.
Counselor (Mental Health)
5100 MARLBOROUGH DR
SAN DIEGO, CA 92116
San Diego County (619) 525-3498
MISS MONICA HUEZO THERAPIST-LPCC, M.S.
Counselor (Mental Health)
5100 MARLBOROUGH DR, SUITE #103
SAN DIEGO, CA 92116
San Diego County (619) 200-4305
HEIDI KATHLEEN BECKENBACH MCGANN LPCC
Counselor (Mental Health)
5100 MARLBOROUGH DR
SAN DIEGO, CA 92116
San Diego County (619) 567-7399
DR. RICHARD JORDAN PSY.D.
Psychologist
5100 MARLBOROUGH DR
SAN DIEGO, CA 92116
San Diego County (619) 303-5062

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 Michael Kimmel's NPI number?

The NPI number for Michael Kimmel is 1508967985. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Michael Kimmel located?

Michael Kimmel practices at 5100 Marlborough Dr, San Diego, CA 92116. The listed phone number is (619) 582-0771.

What is Michael Kimmel's specialty?

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

Is Michael Kimmel enrolled in Medicare?

No. Michael Kimmel has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Kimmel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.