KIM CLARISSA DALLAS LMSW
NPI 1851383889
Social Worker - Clinical in Kingston, NY

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
239 GOLDEN HILL LN, KINGSTON, NY 12401(845) 340-4135(845) 340-4094 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Clarissa Dallas Lmsw NPPES

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

KIM CLARISSA DALLAS LMSW (NPI 1851383889) is an individual clinical provider in Kingston, New York, licensed in New Jersey (44SC06207700) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1851383889
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM CLARISSA DALLASCredential: LMSW
Location Address239 GOLDEN HILL LNKingston, NY 12401-6441
Mailing Address239 Golden Hill LnKingston, NY 12401-6441 · (845) 340-4125 · Fax (845) 340-4094
Fax(845) 340-4094
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 16, 2005
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
NPI 1851383889 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 NJ · 44SC06207700
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 073220 (NY)
239 GOLDEN HILL LN, Kingston, NY 12401

Other Names 1

Former Name (1)Kim Clarissa Weeks Lmsw

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 Clarissa Dallas Lmsw 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 ID7012335193
PECOS Enrollment IDI20230530000070
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 12401 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

Home Health
239 GOLDEN HILL LN
KINGSTON, NY 12401
Social Worker (Clinical)
239 GOLDEN HILL LN
KINGSTON, NY 12401
Social Worker (Clinical)
239 GOLDEN HILL LN
KINGSTON, NY 12401
Social Worker (Clinical)
239 GOLDEN HILL LN, ULSTER COUNTY MENTAL HEALTH DEPARTMENT
KINGSTON, NY 12401
Counselor (Mental Health)
239 GOLDEN HILL LN
KINGSTON, NY 12401
Community/Behavioral Health
239 GOLDEN HILL LN
KINGSTON, NY 12401
Student in an Organized Health Care Education/Training Program
239 GOLDEN HILL LN
KINGSTON, NY 12401
Student in an Organized Health Care Education/Training Program
239 GOLDEN HILL LN
KINGSTON, NY 12401

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 Dallas's NPI number?

The NPI number for Kim Dallas is 1851383889. It was assigned to this individual provider in the NPPES registry on August 16, 2005. The provider is also known as Kim Clarissa Weeks Lmsw.

Where is Kim Dallas located?

Kim Dallas practices at 239 Golden Hill Ln, Kingston, NY 12401. The listed phone number is (845) 340-4135.

What is Kim Dallas's specialty?

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

Is Kim Dallas enrolled in Medicare?

Yes. Kim Dallas 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 Dallas accept?

Health plans from Providence Health Plan list Kim Dallas 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 Dallas was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.