Kimberly Ann Dimeola, is a
Social Worker - Clinical based in North Haven, Connecticut. Kimberly Ann Dimeola is licensed to practice in Connecticut (license number 006047) and her current practice location is
352 State St, North Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 781-4695.
NPI number for Kimberly Ann Dimeola is 1437428240 and her current mailing address is 1 Long Wharf Dr, Ste 321, New Haven, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437428240.
Healthcare Provider's Profile
| Full Name | Kimberly Ann Dimeola |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 352 State St, North Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437428240
- Provider Enumeration Date: 12/22/2011
- Last Update Date: 01/24/2022
Medical Identifiers
Medical identifiers for Kimberly Ann Dimeola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437428240 | NPI | - | NPPES |
| 004082286 | Medicaid | CT | |
| 500000315 | Medicaid | CT | |
| 008022626 | Medicaid | CT | |
| 008038047 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000536 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 006047 (Connecticut) | 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 Ann Dimeola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Ann Dimeola,
1 Long Wharf Dr, Ste 321,
New Haven, CT 06511-5991
Ph: (203) 781-4600 | Kimberly Ann Dimeola,
352 State St,
North Haven, CT 06473-3108
Ph: (203) 781-4695 |
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