Individual provider · Type 1 NPI

Kimberly Ann Kettle, LCSW

Clinical Social Worker · Midvale, UT

NPI number 1871573634 Active

Practice location

7309 S 180 W
Midvale, UT 84047-1020

Call (801) 565-6812 Map

Fax (801) 569-9718

Mailing address

8937 S North Forty Rd
Sandy, UT 84093-1726

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X316386-3501 (UT)

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 1871573634

Kimberly Ann Kettle, LCSW's National Provider Identifier is 1871573634, issued on Jan 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Midvale, UT. The record was last updated on Jul 8, 2007.