KIMBERLY A. VERDEJO LCSW
NPI 1790731206
Social Worker in Clarksville, TN

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
915 TINY TOWN RD, CLARKSVILLE, TN 37042(931) 553-6981(931) 553-6982 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly A. Verdejo Lcsw NPPES

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

KIMBERLY A. VERDEJO LCSW (NPI 1790731206) is an individual social worker in Clarksville, Tennessee, licensed in Tennessee (LSW0000004048) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1790731206
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKIMBERLY A. VERDEJOCredential: LCSW
Location Address915 TINY TOWN RDClarksville, TN 37042-7663
Mailing Address210 Quail Ridge RdClarksville, TN 37042-7385 · (931) 645-5406
Fax(931) 553-6982
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 26, 2006
Last NPPES UpdateNovember 30, 2011
NPI 1790731206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in TN · LSW0000004048
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
915 TINY TOWN RD, Clarksville, TN 37042

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 A. Verdejo Lcsw 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 ID2961506852
PECOS Enrollment IDI20240826003138
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.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
915 TINY TOWN RD
CLARKSVILLE, TN 37042

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 Verdejo's NPI number?

The NPI number for Kimberly Verdejo is 1790731206. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Kimberly Verdejo located?

Kimberly Verdejo practices at 915 Tiny Town Rd, Clarksville, TN 37042. The listed phone number is (931) 553-6981.

What is Kimberly Verdejo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kimberly Verdejo enrolled in Medicare?

Yes. Kimberly Verdejo 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 Verdejo accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kimberly Verdejo 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 Verdejo was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.