KIMBERLY JO SMITH LISW
NPI 1881238244
Social Worker in Mason City, IA

Q: What is Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1881238244. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Q: What is Kimberly Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on February 14, 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.

Active since October 29, 2019PECOS EnrolledAccepts Medicare Assignment

320 N EISENHOWER AVE, MASON CITY, IA 50401(641) 424-2391(641) 424-0783 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Jo Smith Lisw NPPES

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

KIMBERLY JO SMITH LISW (NPI 1881238244) is an individual social worker in Mason City, Iowa, licensed in Iowa (099698) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1881238244

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKIMBERLY JO SMITHCredential: LISW

Location Address320 N EISENHOWER AVEMason City, IA 50401-1521

Mailing Address703 W Main StFertile, IA 50434-1031 · (641) 529-2165 · Fax (641) 424-0783

Phone(641) 424-2391

Fax(641) 424-0783

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 29, 2019

Last NPPES UpdateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1881238244 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 IA · 099698

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.

320 N EISENHOWER AVE, Mason City, IA 50401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Jo Smith Lisw 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 ID5294111431

PECOS Enrollment IDI20220926002410

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 20

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

COURTNEY COCKRUM

Counselor (Addiction (Substance Use Disorder))