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KIMBERLY WAINE GORE LCSW
NPI 1700485927
Social Worker - Clinical in Williamsburg, VA

Active since October 19, 2020PECOS Enrolled
1651 MERRIMAC TRL BLDG 1, WILLIAMSBURG, VA 23185(757) 220-3200(757) 253-4118 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Waine Gore Lcsw NPPES

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

KIMBERLY WAINE GORE LCSW (NPI 1700485927) is an individual clinical provider in Williamsburg, Virginia, licensed in Virginia (0904012385) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700485927
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY WAINE GORECredential: LCSW
Location Address1651 MERRIMAC TRL BLDG 1Williamsburg, VA 23185-5624
Mailing Address8435 Taverns LnToano, VA 23168-8000 · (757) 218-5133
Phone(757) 220-3200
Fax(757) 253-4118
Sole ProprietorNo
Enumeration DateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1700485927 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 VA · 0904012385
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.
1651 MERRIMAC TRL BLDG 1, Williamsburg, VA 23185
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Waine Gore Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Middle Peninsula Northern Neck Mental Health & Retardation
14 mi
Mental Health (Including Community Mental Health Center)
9228 GEORGE WASHINGTON MEMORIAL HWY
Gloucester, VA 23061
  • Reassigned Medicare billing, Virginia enrollment
  • 54 clinicians in this Medicare group
NPI 1497717615 (804) 693-5068

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 23185 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 Gore's NPI number?

The NPI number for Kimberly Gore is 1700485927. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Kimberly Gore located?

Kimberly Gore practices at 1651 Merrimac Trl Bldg 1, Williamsburg, VA 23185. The listed phone number is (757) 220-3200.

What is Kimberly Gore's specialty?

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

Is Kimberly Gore enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Gore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Gore reassigns Medicare benefits to Middle Peninsula Northern Neck Mental Health & Retardation (Gloucester, VA). 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 Gore'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 Gore was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.