Individual provider · Type 1 NPI

Kenneth M. Kinzie, M.S.W., LCSW

Clinical Social Worker · Sarasota, FL

NPI number 1104980499 Active

Practice location

73 S Palm Ave, Suite 215
Sarasota, FL 34236-5638

Fax (941) 751-4885

Mailing address

6620 Quonset Rd
Bradenton, FL 34203-9730

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW1660 (FL)

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 1104980499

Kenneth M. Kinzie, M.S.W., LCSW's National Provider Identifier is 1104980499, issued on Dec 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sarasota, FL. The record was last updated on Jul 8, 2007.