Individual provider · Type 1 NPI

Kimberly Southworth

Clinical Social Worker · Troy, NY

NPI number 1831635010 Active

Practice location

1801 6th Ave
Troy, NY 12180-3478

Call (518) 545-0258 Map

Mailing address

6632 Middle Grove Rd
Middle Grove, NY 12850-2413

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X72 096257 (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 1831635010

Kimberly Southworth's National Provider Identifier is 1831635010, issued on Jan 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Troy, NY. The record was last updated on Jan 12, 2017.