Individual provider · Type 1 NPI

Benjamin P. Kimball

Clinical Social Worker · Charlotte, NC

NPI number 1972158087 Active

Practice location

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001

Call (704) 850-6479 Map

Other practice locations

  • 1068 S Lake Dr, Lexington, SC 29073-3720 · (803) 726-9407

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1972158087

Benjamin P. Kimball's National Provider Identifier is 1972158087, issued on Aug 6, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2021.