Knickerbocker, Kimberly

Knickerbocker, Kimberly is an individual health care provider with primary practice located at 1570 Suncrest Dr , Lapeer MI 48446-1154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Knickerbocker, Kimberly can be contacted via phone (810) 667-0500.

Contact Information

Primary practice address
1570 Suncrest Dr Lapeer MI 48446-1154
Phone: (810) 667-0500
Fax: (810) 664-8728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801101205 Michigan

Profile Details

NPI number 1558713164
LBN Legal business name Knickerbocker, Kimberly
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Jul 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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