KIM HALBACK LICSW
NPI 1770576175
Social Worker - Clinical in Hyattsville, MD

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
3311 TOLEDO TER STE B103, HYATTSVILLE, MD 20782(800) 431-6377(866) 936-0235 Get Directions Write a Review

NPPES record last updated: January 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2023, Feb 5, 2020 (2 updates tracked since 2020).

About Kim Halback Licsw NPPES

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

KIM HALBACK LICSW (NPI 1770576175) is an individual clinical provider in Hyattsville, Maryland, licensed in District Of Columbia (LC50078515) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1770576175
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM HALBACKCredential: LICSW
Location Address3311 TOLEDO TER STE B103Hyattsville, MD 20782-8146
Mailing Address4006 Bishopmill DrUpper Marlboro, MD 20772-3405 · (202) 290-8335 · Fax (866) 936-0235
Fax(866) 936-0235
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 31, 2005
Last NPPES UpdateJanuary 21, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2023
NPI 1770576175 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
License Licensed in DC · LC50078515
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 6651 (SC)
3311 TOLEDO TER STE B103, Hyattsville, MD 20782

Secondary Practice Location 1

Location 14844 Queens Chapel Ter NEWashington, DC 20017-3139 · Phone (202) 289-1510 ext. 1428 · Fax (202) 518-8924

Other Identifiers 1

Medicaid372048SC

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

Kim Halback Licsw 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 ID3971541343
PECOS Enrollment IDI20140617001193
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 20782 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
3311 TOLEDO TER STE B103
HYATTSVILLE, MD 20782
Nurse Practitioner (Family)
3311 TOLEDO TER STE B103
HYATTSVILLE, MD 20782
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
3311 TOLEDO TER STE B103
HYATTSVILLE, MD 20782
Clinical Nurse Specialist
3311 TOLEDO TER STE B103
HYATTSVILLE, MD 20782
Clinic/Center (Rehabilitation)
3311 TOLEDO TER STE B103
HYATTSVILLE, MD 20782

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 Kim Halback's NPI number?

The NPI number for Kim Halback is 1770576175. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Kim Halback located?

Kim Halback practices at 3311 Toledo Ter Ste B103, Hyattsville, MD 20782. The listed phone number is (800) 431-6377.

What is Kim Halback's specialty?

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

Is Kim Halback enrolled in Medicare?

Yes. Kim Halback 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 Kim Halback accept?

Health plans from BlueCross BlueShield of South Carolina, Providence Health Plan and UnitedHealthcare list Kim Halback 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 Kim Halback was last updated on January 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.