Individual provider · Type 1 NPI

Jay Spencer Kimball, LMSW

Clinical Social Worker · Cedar Rapids, IA

NPI number 1710553565 Active

Practice location

260 33rd Ave SW Ste J
Cedar Rapids, IA 52404-4646

Fax (319) 343-1059

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Clinical Social Worker Primary	1041C0700X	107269 (IA)

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 1710553565

Jay Spencer Kimball, LMSW's National Provider Identifier is 1710553565, issued on Jun 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cedar Rapids, IA. The record was last updated on Jun 2, 2021.