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KIMBERLY CLEMMONS LICSW
NPI 1790263226
Social Worker - Clinical in Yakima, WA

Active since August 06, 2018PECOS Enrolled
505 S 4TH AVE, YAKIMA, WA 98902(509) 575-4084 Get Directions Write a Review

NPPES record last updated: October 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2019, Aug 6, 2018 (2 updates tracked since 2018).

About Kimberly Clemmons Licsw NPPES

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

KIMBERLY CLEMMONS LICSW (NPI 1790263226) is an individual clinical provider in Yakima, Washington, licensed in Washington (LW61507239) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790263226
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY CLEMMONSCredential: LICSW
Location Address505 S 4TH AVEYakima, WA 98902-3547
Mailing AddressPo Box 959Yakima, WA 98907-0959
Phone(509) 575-4084
Sole ProprietorNo
Enumeration DateAugust 6, 2018
Last NPPES UpdateOctober 19, 20242 updates tracked since enumeration
NPPES CertifiedOctober 19, 2024
✔ NPI 1790263226 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 WA · LW61507239
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.
505 S 4TH AVE, Yakima, WA 98902
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Other Names 1

Former Name (1)Kimberly Clemmons

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Clemmons Licsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

THOMAS IZAYAH CHARLES
Peer Specialist
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
ROBERT SIEFRING
Social Worker
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
LAURIE SIEBLER M.A.
Counselor (Mental Health)
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 576-4304
DAWN THOMAS
Peer Specialist
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
KATIA FLORES PIMENTEL
Case Manager/Care Coordinator
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
MAYRA TRUIJLLO RIVERA
Case Manager/Care Coordinator
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
LAURA RODRIGUEZ
Case Manager/Care Coordinator
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 575-4084
KELLI BECKER
Peer Specialist
505 S 4TH AVE
YAKIMA, WA 98902
Yakima County (509) 607-4984

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 Clemmons's NPI number?

The NPI number for Kimberly Clemmons is 1790263226. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Kimberly Clemmons located?

Kimberly Clemmons practices at 505 S 4th Ave, Yakima, WA 98902. The listed phone number is (509) 575-4084.

What is Kimberly Clemmons's specialty?

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

Is Kimberly Clemmons enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Clemmons was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.