Individual provider · Type 1 NPI

Kimberly Marie Black, LCSW

Clinical Social Worker · Farmington, MO

NPI number 1215528955 Active

Practice location

400 N Washington St Ste 130B
Farmington, MO 63640-1764

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2019005809 (MO)

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 1215528955

Kimberly Marie Black, LCSW's National Provider Identifier is 1215528955, issued on Jan 26, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, MO. The record was last updated on May 4, 2023.