Individual provider · Type 1 NPI

Kimberly Ann Wantz, MSW, LCSW

Clinical Social Worker · Longmont, CO

NPI number 1104183136 Active

Practice location

1950 Mountain View Avenue
Longmont, CO 80501

Mailing address

5197 Gallatin Place
Boulder, CO 80303

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2035 (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 1104183136

Kimberly Ann Wantz, MSW, LCSW's National Provider Identifier is 1104183136, issued on Apr 16, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Longmont, CO. The record was last updated on Apr 16, 2012.