KIMBERLY ISABEL LARA NPI 1619853355

NPI Information

NPI: 1619853355
Provider Name: KIMBERLY ISABEL LARA
Classification: Social Worker - 104100000X
Entity Type: Individual
Address: 1075 BROADWAY
PLEASANTVILLE, NY
ZIP 10570
Phone: (929) 549-0100

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NPI Details

Kimberly Isabel Lara is a social worker in Pleasantville, NY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Kimberly Isabel Lara NPI is 1619853355. 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:

1075 BROADWAY
PLEASANTVILLE, NY
ZIP 10570-346
Phone: (929) 549-0100

The enumeration date for this NPI number is 8/15/2025 and was last updated on 8/15/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		72-P137705-01	NEW YORK	Yes

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: 11/21/2025

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