Kim Clarissa Dallas, LMSW - Medicare Clinical Social Worker in Kingston, NY

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Kim Clarissa Dallas, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Kingston, New York. She graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Stationmd Professional Corporation and her current practice location is 239 Golden Hill Ln, Kingston, New York. You can reach out to her office (for appointments etc.) via phone at (845) 340-4135.

Kim Clarissa Dallas is licensed to practice in New Jersey (license number 44SC06207700) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851383889.

Contact Information

Kim Clarissa Dallas, LMSW
239 Golden Hill Ln,
Kingston, NY 12401-6441
(845) 340-4135
(845) 340-4094

Map and Direction




Healthcare Provider's Profile

Full NameKim Clarissa Dallas
GenderFemale
SpecialityClinical Social Worker
Experience21 Years
Location239 Golden Hill Ln, Kingston, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim Clarissa Dallas graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1851383889
  • Provider Enumeration Date: 08/16/2005
  • Last Update Date: 06/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012335193
  • Enrollment ID: I20230530000070

Medical Identifiers

Medical identifiers for Kim Clarissa Dallas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851383889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 44SC06207700 (New Jersey)Primary
104100000XSocial Worker 073220 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stationmd Professional Corporation620418410463

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kim Clarissa Dallas allows following entities to bill medicare on her behalf.
Entity NameRegional Womens Health Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548215536
PECOS PAC ID: 2961316328
Enrollment ID: O20040420000034
Entity NameLive Life Now Health Group Of Nj Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215566393
PECOS PAC ID: 0749611820
Enrollment ID: O20200505000504
Entity NameGrow Healthcare Group Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841949328
PECOS PAC ID: 5193194835
Enrollment ID: O20221220000110

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Clarissa Dallas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Clarissa Dallas, LMSW
239 Golden Hill Ln,
Kingston, NY 12401-6441

Ph: (845) 340-4125		Kim Clarissa Dallas, LMSW
239 Golden Hill Ln,
Kingston, NY 12401-6441

Ph: (845) 340-4135

Reviews and Comments


Social Worker in Kingston, NY

Mary Alice Scully, LCSW-R
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 465 Broadway, Kingston, NY 12401
Phone: 845-340-0244    
Ms. Sharon M Koczaja, LCSW-R
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 70 Kukuk Ln, Kingston, NY 12401
Phone: 845-336-2616    Fax: 845-336-3302
Ms. Madeline Joy Rosensweet, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 261 Smith Ave, Kingston, NY 12401
Phone: 917-363-3675    
Ms. Sue Rosenberg, LCSW-R
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 239 Golden Hill Ln, Kingston, NY 12401
Phone: 845-340-4141    
Ms. Margaret Martha Shlasko, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 239 Golden Hill Ln, Kingston, NY 12401
Phone: 845-340-4167    Fax: 845-340-4094
Ms. Cheri Sciacca, LCSWR, CASAC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 239 Golden Hill Ln, Ulster County Mental Health Department, Kingston, NY 12401
Phone: 845-340-4123    
Lindsay S Morrison, LCSW-R, PMHNP-BC
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1 Amy Kay Pkwy, Kingston, NY 12401
Phone: 845-331-1261    Fax: 845-331-2112

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.