Individual provider · Type 1 NPI

Cynthia Louise Kimball, LMSW, ACSW, ACHP-SW

Clinical Social Worker · Grand Rapids, MI

NPI number 1699010298 Active

Practice location

640 3 Mile Rd NW, Suite 101
Grand Rapids, MI 49544-8209

Fax (616) 785-8949

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801063302 (MI)

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 1699010298

Cynthia Louise Kimball, LMSW, ACSW, ACHP-SW's National Provider Identifier is 1699010298, issued on Dec 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 7, 2012.