KIMBERLY TOBAR LCSW
NPI 1902479694
Social Worker - Clinical in South Salt Lake, UT

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment
3269 S MAIN ST STE 100, SOUTH SALT LAKE, UT 84115(801) 935-4447 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2025, May 22, 2023, Jul 12, 2022 and 1 more (4 updates tracked since 2021).

About Kimberly Tobar Lcsw NPPES

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

KIMBERLY TOBAR LCSW (NPI 1902479694) is an individual clinical provider in South Salt Lake, Utah, licensed in Utah (13021048-3501) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902479694
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY TOBARCredential: LCSW
Location Address3269 S MAIN ST STE 100South Salt Lake, UT 84115-3773
Mailing Address3269 S Main St Ste 230South Salt Lake, UT 84115-3769 · (801) 935-4447
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 20, 2021
Last NPPES UpdateMay 15, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1902479694 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 UT · 13021048-3501
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 ListedPeer SpecialistTaxonomy 175T00000X
3269 S MAIN ST STE 100, South Salt Lake, UT 84115

Secondary Practice Location 1

Location 168 S 600 ESalt Lake City, UT 84102-1007 · Phone (801) 322-1001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Tobar 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 ID7416424791
PECOS Enrollment IDI20260423002069
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Tobar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
5965 S 900 E STE 100
Murray, UT 84121
  • Reassigned Medicare billing, Utah enrollment
  • 85 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Social Worker (Clinical)
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115
Social Worker (Clinical)
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115
Counselor (Addiction (Substance Use Disorder))
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115
Peer Specialist
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115
Peer Specialist
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115
Peer Specialist
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115
Social Worker (Clinical)
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115
Peer Specialist
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115

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 Tobar's NPI number?

The NPI number for Kimberly Tobar is 1902479694. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Kimberly Tobar located?

Kimberly Tobar practices at 3269 S Main St Ste 100, South Salt Lake, UT 84115. The listed phone number is (801) 935-4447.

What is Kimberly Tobar's specialty?

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

Is Kimberly Tobar enrolled in Medicare?

Yes. Kimberly Tobar 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.

Which organization bills Medicare for Kimberly Tobar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tobar reassigns Medicare benefits to Ascendant Behavioral Health LLC (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Tobar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Tobar accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kimberly Tobar 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 Tobar was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.