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MRS. KIMBERLY DENAE WASHBURN LCSW
NPI 1619481629
Social Worker - Clinical in Taylorville, IL

Active since November 29, 2017PECOS Enrolled
1100 SANDY DUNCAN DR, TAYLORVILLE, IL 62568(217) 823-1395 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Kimberly Denae Washburn Lcsw NPPES

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

MRS. KIMBERLY DENAE WASHBURN LCSW (NPI 1619481629) is an individual clinical provider in Taylorville, Illinois, licensed in Illinois (149017470) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619481629
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KIMBERLY DENAE WASHBURNCredential: LCSW
Location Address1100 SANDY DUNCAN DRTaylorville, IL 62568
Mailing Address1100 Sandy Duncan DrTaylorville, IL 62568 · (217) 823-1395
Phone(217) 823-1395
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 29, 2017
✔ NPI 1619481629 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 IL · 149017470
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.
1100 SANDY DUNCAN DR, Taylorville, IL 62568
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3476026311
PECOS Enrollment IDI20260623002163
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62568 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Washburn's NPI number?

The NPI number for Kimberly Washburn is 1619481629. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Kimberly Washburn located?

Kimberly Washburn practices at 1100 Sandy Duncan Dr, Taylorville, IL 62568. The listed phone number is (217) 823-1395.

What is Kimberly Washburn's specialty?

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

Is Kimberly Washburn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Washburn was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.