Individual provider · Type 1 NPI

Kimberly Ann Masterpole, LCSWR

Clinical Social Worker · Syracuse, NY

NPI number 1619040052 Active

Practice location

4780 Country Club Dr
Syracuse, NY 13219

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR0551771 (NY)

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 1619040052

Kimberly Ann Masterpole, LCSWR's National Provider Identifier is 1619040052, issued on Nov 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.