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

Kim Halback, LICSW

Individual provider Social Worker · NPI 1770576175

Kim Halback, LICSW is a Clinical Social Worker in Hyattsville, Maryland. Qualified in 1997, 29 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and South Carolina.

Years since qualifying
29
Licensed in
DC, SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone: (800) 431-6377
Fax: (866) 936-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4844 Queens Chapel Ter Ne, Washington, DC 20017-3139 — (202) 289-1510

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC50078515 (DC)
Social Worker Taxonomy 104100000X · Licence 6651 (SC)

Record details

NPI number1770576175
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 31, 2005
Last updated in NPPESJanuary 21, 2023
Certification dateJanuary 21, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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