Individual provider · Type 1 NPI

Kimberley Irene Nusbaum, LICSW

Clinical Social Worker · Vancouver, WA

NPI number 1972055564 Active

Practice location

2502 E Fourth Plain Blvd
Vancouver, WA 98661-3965

Call (360) 831-0904 Map

Fax (360) 433-9917

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61294719 (WA)

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 1972055564

Kimberley Irene Nusbaum, LICSW's National Provider Identifier is 1972055564, issued on Oct 29, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Sep 30, 2022.