Individual provider · Type 1 NPI

Connor Kimball

Clinical Social Worker · Minneapolis, MN

NPI number 1134859499 Active

Practice location

501 23rd Ave SE
Minneapolis, MN 55455-0447

Mailing address

10520 Mississippi Cir N
Brooklyn Park, MN 55443-1267

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1134859499

Connor Kimball's National Provider Identifier is 1134859499, issued on Jun 10, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 10, 2022.