Individual provider · Type 1 NPI

Jane Elaine Kimball, LBSW

Clinical Social Worker · Fenton, MI

NPI number 1013122233 Active

Practice location

129 N River St
Fenton, MI 48430-3800

Fax (810) 616-6268

Mailing address

4382 S Genesee Rd
Grand Blanc, MI 48439-7958

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6802018344 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013122233

Jane Elaine Kimball, LBSW's National Provider Identifier is 1013122233, issued on May 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fenton, MI. The record was last updated on Jul 8, 2007.