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

Kimberly Rae Suderman, LSCSW

Individual provider Clinical Social Worker · NPI 1801353875

Kimberly Rae Suderman, LSCSW is a Clinical Social Worker in Manhattan, Kansas. Qualified in 2017, 9 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
9
Licensed in
KS
In the registry since
2019
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Practice location Address checks out

330 Poyntz Ave Ste 205
Manhattan, KS 66502-6194
Phone: (785) 629-3819
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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 05804 (KS)

Record details

NPI number1801353875
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 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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