Individual provider · Type 1 NPI

Kimberley Lorraine Velazquez, MSW

Clinical Social Worker · Sandpoint, ID

NPI number 1639566458 Active · reactivated Apr 14, 2022

Practice location

110 Granite Ridge Dr
Sandpoint, ID 83864-7069

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X39900 (ID)
Clinical Social Worker 1041C0700XNone 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 1639566458

Kimberley Lorraine Velazquez, MSW's National Provider Identifier is 1639566458, issued on Apr 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandpoint, ID. The record was last updated on Oct 10, 2023.