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KIMBERLY KNICKERBOCKER MSW NPI 1558713164


NPI Information

NPI: 1558713164
Provider Name: KIMBERLY KNICKERBOCKER, MSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1570 SUNCREST DR
LAPEER, MI
ZIP 48446
Phone: (810) 667-0500
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Kimberly Knickerbocker, MSW is a clinical social worker in Lapeer, MI. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Kimberly Knickerbocker, MSW NPI is 1558713164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1570 SUNCREST DR
LAPEER, MI
ZIP 48446-154
Phone: (810) 667-0500
Fax: (810) 664-8728

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinical6801101205MICHIGANYes
31041C0700XSocial WorkerClinicalNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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