Individual provider · Type 1 NPI

Kimberley Passidomo, LCSW

Clinical Social Worker · Haverford, PA

NPI number 1891676714 Active

Practice location

600 Haverford Rd Ste G101
Haverford, PA 19041-1139

Mailing address

5320 Webster St
Philadelphia, PA 19143-2629

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW019199 (PA)

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 1891676714

Kimberley Passidomo, LCSW's National Provider Identifier is 1891676714, issued on Sep 9, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Haverford, PA. The record was last updated on Sep 9, 2025.