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: July 26, 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
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

Secondary Practice Location 1

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

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 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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Counselor (Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Gerontology)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403

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.

What insurance does Kimberly Rose accept?

Health plans from Blue Cross and Blue Shield of NC, Providence Health Plan and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.