Kimberley Anne Backstrom
NPI 1447714647ActiveIndividual· Social Worker· Las Vegas, NV
Social Worker in Las Vegas, Nevada, licensed in NV and CA, with an NPI issued in January 2019.
Overview
| NPI | 1447714647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 22, 2019 |
| Last updated in NPPES | Sep 8, 2020 |
| Certified by provider | Sep 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 1358P-S | NV |
| Counselor, Mental Health | 101YM0800X | ASW87254 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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