Individual provider · Type 1 NPI

Kimberly Ellen Bermudez, LCSW

Clinical Social Worker · Boulder, CO

NPI number 1023446440 Active

Practice location

3980 Broadway St Ste 103
Boulder, CO 80304-1161

Mailing address

875 Primos Rd
Boulder, CO 80302-9213

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1972 (CO)

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 1023446440

Kimberly Ellen Bermudez, LCSW's National Provider Identifier is 1023446440, issued on Oct 22, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Oct 22, 2013.