KIMBERLY A OLMSTED (LMSW) – Clinical Social Worker, NPI 1215643176

KIMBERLY A OLMSTED (LMSW) is a healthcare provider. based in Jackson, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801093180 (MI). The NPI Number for KIMBERLY A OLMSTED (LMSW) is 1215643176

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A OLMSTED (LMSW)
NPI
1215643176
Phone
(248) 672-7244
Address
915 Airport Rd
Enumeration Date
24 January 2023
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172635810
Graduation Year
2011 (15 years ago)
PAC ID
4789056409
Group Practice PAC ID
4981947850
Professional Enrollment ID
I20230207000439
Address ID
MI492212735AD142XXSTXX405
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for KIMBERLY A OLMSTED (LMSW)

  • 915 Airport Rd

    Jackson, MI 492021872

    Phone: (248) 672-7244

    Type: Location

  • 906 Oak Brook Dr

    Jackson, MI 492032672

    Phone: (517) 392-0404

    Type: Location

  • 906 OAK BROOK DR

    JACKSON, MI 492032672

    Phone: (517) 392-0404

    Type: Mailing

  • 142 E MAUMEE ST STE 3

    ADRIAN, MI 492212735

    Phone: (517) 263-5810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230207000439IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour17213$0
View full utilization report →

Insurance plans in this area (ZIP 49202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981947850View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
Mental Health CounselorMI
-MI
Physician AssistantMI
Physician AssistantMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What identifier follows KIMBERLY A OLMSTED (LMSW) across health systems?
The NPI 1215643176 uniquely identifies KIMBERLY A OLMSTED (LMSW) in U.S. healthcare data.
Is KIMBERLY A OLMSTED (LMSW) currently accepting referrals based on NPI status?
Registry metadata lists KIMBERLY A OLMSTED (LMSW) as active.
What services align with KIMBERLY A OLMSTED (LMSW)'s listing?
KIMBERLY A OLMSTED (LMSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY A OLMSTED (LMSW)?
KIMBERLY A OLMSTED (LMSW) shows a connection to Jackson, Michigan in registry-derived data.
Can I export KIMBERLY A OLMSTED (LMSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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