Jennifer Kimbrough in Mishawaka - Clinical
Jennifer Kimbrough - NPI 1700837747
Jennifer Kimbrough is a Clinical in Mishawaka, Indiana. Jennifer Kimbrough practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Kimbrough is 1700837747. The last update date is 2021-09-10.
Jennifer Kimbrough's current location address is 1540 Trinity Pl, Mishawaka, Indiana. You can contact this provider via phone number 2604159051. The mailing address for Jennifer Kimbrough is 1540 Trinity Pl, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Kimbrough |
|---|---|
| Address | 1540 Trinity Pl, Mishawaka, Indiana |
| Phone Number | 2604159051 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700837747 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2021-09-10 |
Provider Mailing Address Detail
| Address | 1540 Trinity Pl |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465455006 |
| Phone Number | 2604159051 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 33004912 |
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Definition: 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, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Kimbrough by the Centers for Medicare & Medicaid Services?
The Jennifer Kimbrough has been assigned the NPI (National Provider Identifier) 1700837747. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jennifer Kimbrough's facilities are geographically located?
The facilities of Jennifer Kimbrough are physically situated at the following location: 1540 Trinity Pl, Mishawaka, IN, 465455006.
What is Jennifer Kimbrough's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Kimbrough's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700837747 to Jennifer Kimbrough?
The Jennifer Kimbrough received its 1700837747 assignment from the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date were the details pertaining to Jennifer Kimbrough last refreshed?
The information related to the Jennifer Kimbrough, including its address, specialty, and other relevant details, was last updated on 2021-09-10.