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MISS KIMBERLY MICHELLE POLI LCSW
NPI 1972224004
Social Worker - Clinical in Syracuse, NY

Active since September 07, 2022PECOS Enrolled
620 MADISON ST, SYRACUSE, NY 13210(315) 426-7769 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Kimberly Michelle Poli Lcsw NPPES

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

MISS KIMBERLY MICHELLE POLI LCSW (NPI 1972224004) is an individual clinical provider in Syracuse, New York, licensed in New York (093769-01) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972224004
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS KIMBERLY MICHELLE POLICredential: LCSW
Location Address620 MADISON STSyracuse, NY 13210-2338
Mailing Address4136 Tommys TrlLiverpool, NY 13090-3737 · (315) 491-5159
Phone(315) 426-7769
Sole ProprietorYes
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1972224004 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 NY · 093769-01
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.
620 MADISON ST, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kimberly Michelle Poli Lcsw 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 13210 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

ROSS LOUCY
Social Worker (Clinical)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7675
BROOKE GARROW
Licensed Practical Nurse
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
ROXANNE REIMER
Social Worker (Clinical)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7680
MRS. GLORIA DURU RN
Registered Nurse (Psychiatric/Mental Health, Adult)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3660
DR. KATHARINA EMILY KULIK PSYD
Student in an Organized Health Care Education/Training Program
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
WILBUR THEODORE ALBRECHT III M.D.
Psychiatry & Neurology (Psychiatry)
620 MADISON ST, HUTCHINGS PSYCHIATRIC CENTER
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
MERCEDES ALICIA HUNT RN BSN
Registered Nurse
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
MRS. MAXINE FREE RN
Registered Nurse (Psychiatric/Mental Health, Adult)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600

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 Poli's NPI number?

The NPI number for Kimberly Poli is 1972224004. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Kimberly Poli located?

Kimberly Poli practices at 620 Madison St, Syracuse, NY 13210. The listed phone number is (315) 426-7769.

What is Kimberly Poli's specialty?

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

Is Kimberly Poli enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Poli was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.