Individual provider · Type 1 NPI

Peter Jeffers Kimball Jr., LCSW

Clinical Social Worker · Portland, ME

NPI number 1023327400 Active

Practice location

66 State St
Portland, ME 04101-3751

Call (207) 871-7431 Map

Mailing address

29 Tucker Ave
Portland, ME 04103-1422

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC10102 (ME)

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 1023327400

Peter Jeffers Kimball Jr., LCSW's National Provider Identifier is 1023327400, issued on Oct 1, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Oct 1, 2010.