Individual provider · Type 1 NPI

Kimberly A. Mayberry, LSCSW

Clinical Social Worker · Whiteman Afb, MO

NPI number 1992069991 Active

Practice location

331 Sijen Ave
Whiteman Afb, MO 65305-1269

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X8459 (KS)
Social Worker 104100000X2016009943 (MO)
Clinical Social Worker Primary 1041C0700X2017003630 (MO)
Clinical Social Worker 1041C0700X4620 (KS)

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 1992069991

Kimberly A. Mayberry, LSCSW's National Provider Identifier is 1992069991, issued on Jun 25, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Whiteman Afb, MO. The record was last updated on Mar 5, 2024.