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Kimberliah Woods, CEO,MT-MSW, CCM,CCHW

Social Worker in Merrillville, IN. Individual provider (NPI-1).

NPI number1831867720
StatusActive
Last updated in NPPESFeb 16, 2024

Details

NPI
1831867720
Entity type
Individual (NPI-1)
Name
Ms. Kimberliah Woods
Credential
CEO,MT-MSW, CCM,CCHW
Sex
Female
Sole proprietor
No
Enumeration date
Sep 3, 2021
Certification date
Feb 16, 2024
Last updated
Feb 16, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
172V00000X Community Health WorkerET04422IN

Practice location

760 E 92nd Ave
Merrillville, IN 46410-8123

Phone 219-746-9094 · Fax 219-472-0926

Mailing address

760 E 92nd Ave
Merrillville, IN 46410-8123

Phone 219-337-9826 · Fax 219-472-0926

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker providers in Merrillville, IN

All 50 Social Worker providers in Merrillville · All 2,737 providers in Merrillville

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