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

Kimberly Anne Loustau

Individual provider Clinical Social Worker · NPI 1912325002

Kimberly Anne Loustau is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Osh - PA Physicians Group, PC, a 114-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2014
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Practice location Address checks out

6232 Market St
Philadelphia, PA 19139-2922
Phone: (215) 444-7672
Fax: (267) 627-5873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 764 S 15th St, Philadelphia, PA 19146-2136 — (609) 410-0165

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW018076 (PA)

Record details

NPI number1912325002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 4, 2014
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Osh - Pa Physicians Group, Pc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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