Kimberly D Nielsen, Pllc

LBN: Kimberly D Nielsen, Pllc
Kimberly D Nielsen, Pllc is an health care organization with primary practice located at 15396 N 83Rd Ave Ste F101 , Peoria AZ 85381-5629. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kimberly D Nielsen, Pllc can be contacted via phone (623) 640-7940, or through Nielsen, Kimberly Dawn via phone (623) 640-7940.

Contact Information

Primary practice address
15396 N 83Rd Ave Ste F101 Peoria AZ 85381-5629
Phone: (623) 640-7940
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Kimberly Dawn Licensed Clinical Social Worker (LCSW)
Phone: (623) 640-7940

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW1099 Arizona

Profile Details

NPI number 1770853301
LBN Legal business name Kimberly D Nielsen, Pllc
DBA Doing business as
Authorized official Nielsen, Kimberly Dawn Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770853301 NPPES
Arizona Other 1922143833 INDIVIDUAL

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