Individual provider · Type 1 NPI
Kimberly Hairston, LCSW
Clinical Social Worker · Ontario, CA
Practice location
4872 S Anderson Ave
Ontario, CA 91762-7588
Mailing address
PO Box 6945
Norco, CA 92860-8065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 21513 (CA) |
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 1083784938
Kimberly Hairston, LCSW's National Provider Identifier is 1083784938, issued on Nov 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, CA. The record was last updated on Jan 12, 2026.