Look up the most recent NPI and PECOS records

Kimberly Thomas

Social Worker

Behavioral Health & Social Service Providers

(269) 355-2068

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Thomas is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1093456691
Provider Type
Individual
Full Name
Thomas, Kimberly
Title
Mrs.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/6/2022
Last Updated
7/24/2024

Contact Information

Practice Location

540 Jenner Dr, Allegan, MI 49010-1517

(269) 355-2068

Unlisted Fax

Mailing Location

1171 W 32nd St, Holland, MI 49423-6781

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801117355 Michigan
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Kimberly Thomas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Schuyler, Alison Kay

Kupres, Deborah Dianne

Redman, Charles B

Sparks, Kenneth John

Dortch, Aaron James

Boerman, Kathryne

Clearwater, Charles Alan

Zwaanstra, Janice Marie

Gofton, Staci Lyn

Garcia, Genesis I