Kimberly Marie Black, LCSW in Farmington, MO - Medicare Social Worker Provider

Kimberly Marie Black, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmington, Missouri. Her current practice location is 400 N Washington St Ste 130b, Farmington, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 944-0591.

Kimberly Marie Black is licensed to practice in Missouri (license number 2019005809) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215528955.

Contact Information

	Kimberly Marie Black, LCSW
	400 N Washington St Ste 130b, Farmington, MO 63640-1764
	(573) 944-0591
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Marie Black
Gender	Female
Speciality	Social Worker - Clinical
Location	400 N Washington St Ste 130b, Farmington, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215528955
Provider Enumeration Date: 01/26/2021
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 1456883370
Enrollment ID: I20241017000249

Medical Identifiers

Medical identifiers for Kimberly Marie Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215528955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2019005809 (Missouri)	Primary

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. Kimberly Marie Black 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 Address	Practice Location Address
Kimberly Marie Black, LCSW 400 N Washington St Ste 130b, Farmington, MO 63640-1764 Ph: (573) 944-0591	Kimberly Marie Black, LCSW 400 N Washington St Ste 130b, Farmington, MO 63640-1764 Ph: (573) 944-0591

Reviews and Comments

Social Worker in Farmington, MO

Mrs. Wenona H Mickan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-747-2438
Mrs. Julie Ann Downs, MSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330
Deborah Lynn Bonham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1269 Doctors Dr, Farmington, MO 63640 Phone: 573-664-1146 Fax: 573-664-1149
Rachael Christine Holloway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353
William Jeffrey Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353
Misty Dawn Fowler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-366-4659
Mrs. Melissa L. Black, MSW/LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330

Kimberly Marie Black, LCSW - Medicare Clinical Social Worker in Farmington, MO