Individual provider · Type 1 NPI

Kimberly Stallings Sirdevan, LCSW

Clinical Social Worker · Jacksonville, FL

NPI number 1477854651 Active

Practice location

6780 Patania Way
Jacksonville, FL 32216-5798

Fax (904) 805-9925

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	SW9436 (FL)

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…

3 other providers at this address

Other clinical social worker providers in Jacksonville

See all in Jacksonville →

About NPI 1477854651

Kimberly Stallings Sirdevan, LCSW's National Provider Identifier is 1477854651, issued on Nov 4, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 4, 2010.