Individual provider · Type 1 NPI

Kimbalie Commissiong, LCSW

Clinical Social Worker · Orlando, FL

NPI number 1295854339 Active · reactivated Apr 29, 2020

Practice location

1317 Edgewater Dr # 5519
Orlando, FL 32804-6350

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X115054 (TX)
Clinical Social Worker Primary 1041C0700XSW7375 (FL)
Clinical Social Worker 1041C0700XCSW.09930266 (CO)
Social Worker 104100000XCSW.09930266 (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 1295854339

Kimbalie Commissiong, LCSW's National Provider Identifier is 1295854339, issued on Mar 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orlando, FL. The record was last updated on Apr 20, 2026.