Individual provider · Type 1 NPI

Kim Clarissa Dallas, LMSW

Clinical Social Worker · Kingston, NY

NPI number 1851383889 Active

Practice location

239 Golden Hill Ln
Kingston, NY 12401-6441

Call (845) 340-4135 Map

Fax (845) 340-4094

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06207700 (NJ)
Social Worker 104100000X073220 (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 1851383889

Kim Clarissa Dallas, LMSW's National Provider Identifier is 1851383889, issued on Aug 16, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kingston, NY. The record was last updated on Jun 26, 2024.