Kim Prodger, LCSW
NPI 1114066404 · Clinical Social Worker · Lakewood, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Prodger, LCSW is a Clinical Social Worker provider in Lakewood, CA (NPI 1114066404).
Provider details
- NPI number
- 1114066404
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LCS 12046 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kim Prodger's NPI number?
- Kim Prodger's National Provider Identifier (NPI) is 1114066404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Prodger's specialty?
- Kim Prodger is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kim Prodger located?
- Kim Prodger's practice location on file with NPPES is 4010 Watson Plaza Dr, Lakewood, CA 90712-4037.
- What is Kim Prodger's phone number?
- The practice phone number listed in the NPPES registry for Kim Prodger is (562) 497-1505.
- Does Kim Prodger accept Medicare?
- Kim Prodger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Prodger's NPI active?
- Yes — Kim Prodger's NPI (1114066404) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.