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KIMBERLY ROSE LISW-CP
NPI 1598912784
Social Worker - Clinical in Wilmington, NC

Active since August 19, 2008PECOS EnrolledAccepts Medicare Assignment
3205 RANDALL PKWY STE 105, WILMINGTON, NC 28403(910) 742-9243 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Rose Lisw-cp NPPES

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

KIMBERLY ROSE LISW-CP (NPI 1598912784) is an individual clinical provider in Wilmington, North Carolina and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Asheville, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1598912784
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY ROSECredential: LISW-CP
Location Address3205 RANDALL PKWY STE 105Wilmington, NC 28403-2565
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 742-9243
Phone(910) 742-9243
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 19, 2008
Last NPPES UpdateNovember 8, 2018
✔ NPI 1598912784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSocial WorkerTaxonomy 104100000X · License 009570 (NC)
3205 RANDALL PKWY STE 105, Wilmington, NC 28403
Open in Google Maps ↗

Secondary Practice Location 1

Location 131 College Place, Bldg B Suite 222Asheville, NC 28801 · Phone (828) 242-8648

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Rose Lisw-cp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224326442
PECOS Enrollment IDI20161004000962, I20181204001474
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 Rose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifesource Of North Carolina
Same address
Internal Medicine
3205 RANDALL PKWY, SUITE 105
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • Also billed through NPI 1972861789 (South Carolina)
  • 92 clinicians in this Medicare group
NPI 1811286156 (910) 742-9243
Mission Community Anesthesiology Specialists LLC
275 mi
Gastroenterology
2695 HENDERSONVILLE RD STE 206
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 clinicians in this Medicare group
NPI 1841760238 (828) 213-1740

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
948 services139 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
114 services114 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
88 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

FELIX MANUEL CONTRERAS RN
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
ERICA ROCHELLE ALFORD-GADDY LCSW
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
KIMBERLY LEE WHITFIELD LCMHC
Counselor (Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
WHITNEY NICOLE GREGG
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
MR. JARED DANIEL EDMONDS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
MARIANNE YARNALL
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
JASON DARDEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
DEBRA DENISE ARTHUR TURNER AGNP-C
Nurse Practitioner (Gerontology)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243

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 Rose's NPI number?

The NPI number for Kimberly Rose is 1598912784. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Kimberly Rose located?

Kimberly Rose practices at 3205 Randall Pkwy Ste 105, Wilmington, NC 28403. The listed phone number is (910) 742-9243.

What is Kimberly Rose's specialty?

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

Is Kimberly Rose enrolled in Medicare?

Yes. Kimberly Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Rose reassigns Medicare benefits to 2 organizations: Lifesource Of North Carolina (Wilmington, NC) and Mission Community Anesthesiology Specialists LLC (Arden, NC). 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 Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Rose accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC, Cigna Healthcare and First Choice Next and 1 other insurer list Kimberly Rose 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 Rose was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.