Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Clarissa Dallas, LMSW

Individual provider Clinical Social Worker · NPI 1851383889

Kim Clarissa Dallas, LMSW is a Clinical Social Worker in Kingston, New York. Qualified in 2005, 21 years ago. Practices with Stationmd Professional Corporation, a 62-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
21
Licensed in
NJ, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

239 Golden Hill Ln
Kingston, NY 12401-6441
Phone: (845) 340-4135
Fax: (845) 340-4094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06207700 (NJ)
Social Worker Taxonomy 104100000X · Licence 073220 (NY)

Record details

NPI number1851383889
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedAugust 16, 2005
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Stationmd Professional Corporation — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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