Individual provider · Type 1 NPI
Kimberly A. Mayberry, LSCSW
Clinical Social Worker · Whiteman Afb, MO
Practice location
331 Sijen Ave
Whiteman Afb, MO 65305-1269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 8459 (KS) |
| Social Worker | 104100000X | 2016009943 (MO) |
| Clinical Social Worker Primary | 1041C0700X | 2017003630 (MO) |
| Clinical Social Worker | 1041C0700X | 4620 (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.