Kimberly Estelle Runyan, LCSW
NPI 1952655235ActiveIndividual· Social Worker· Wasilla, AK
Social Worker (LCSW) with Mat - Su Health Services Inc., practicing in Wasilla, Alaska. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1952655235 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 7, 2012 |
| Last updated in NPPES | Aug 22, 2023 |
| Certified by provider | Aug 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AK) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Mat - Su Health Services Inc.Wasilla, AK · 30 clinicians
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