Individual provider · Type 1 NPI

Kimberly Pullom, LSW

Clinical Social Worker · Toledo, OH

NPI number 1407204977 Active

Practice location

5726 Southwyck Blvd Ste 140
Toledo, OH 43614-1587

Call (419) 214-9366 Map

Mailing address

4914 Eastwick Dr
Toledo, OH 43614-1815

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.1502569 (OH)
Doula 374J00000XNone 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 1407204977

Kimberly Pullom, LSW's National Provider Identifier is 1407204977, issued on May 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Toledo, OH. The record was last updated on Apr 2, 2026.