Lisa C Kimball is a Clinical in Madison, Maine. Lisa C Kimball practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa C Kimball is 1871704676. The last update date is 2007-07-08.
Lisa C Kimball's current location address is 83 Mallard Rd, Madison, Maine. You can contact this provider via phone number 2074743093. The mailing address for Lisa C Kimball is 83 Mallard Rd, Madison, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa C Kimball |
|---|---|
| Address | 83 Mallard Rd, Madison, Maine |
| Phone Number | 2074743093 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871704676 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 83 Mallard Rd |
|---|---|
| City | Madison |
| State | Maine (ME) |
| Post Code | 4950 |
| Phone Number | 2074743093 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC7074 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24593099 | ME | -- | |
| ME1814 | ME | MAINECARE |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa C Kimball by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa C Kimball has been assigned the NPI (National Provider Identifier) 1871704676. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Lisa C Kimball's facilities are situated?
The facilities of Lisa C Kimball are physically located at the following address: 83 Mallard Rd, Madison, ME, 4950.
What is Lisa C Kimball's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa C Kimball is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Lisa C Kimball receive its 1871704676 assignment?
The Lisa C Kimball was assigned its 1871704676 on 2007-05-24, which is the date when this unique identifier was issued to the organization.
As of what date were the Lisa C Kimball's details last updated?
The information pertaining to the Lisa C Kimball, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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