Individual provider · Type 1 NPI

Edward Joseph Kimmel Jr., LCSW

Clinical Social Worker · Jasper, IN

NPI number 1275768244 Active

Practice location

480 Eversman Drive
Jasper, IN 47547-0769

Fax (812) 482-6409

Mailing address

PO Box 769, 480 Eversman Drive
Jasper, IN 47547-0769

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34001093A (IN)

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 1275768244

Edward Joseph Kimmel Jr., LCSW's National Provider Identifier is 1275768244, issued on May 20, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jasper, IN. The record was last updated on May 20, 2009.