NPI 1033865605 · live from the CMS NPI Registry
Kimberly Anderson, LICSW
Social Worker, Clinical in Brooklyn Park, MN. National Provider Identifier 1033865605, active.
NPI record
| NPI | 1033865605 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 9400 Zane Ave N, Brooklyn Park, MN 55443 |
| Practice phone | 952-826-8424 |
| Mailing address | 150 Gebhardt Rd, Black River Falls, WI 54615 |
| Enumerated | February 23, 2022 |
| Last updated | February 23, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.