Healthcare Provider Details

I. General information

NPI: 1952445264
Provider Name (Legal Business Name): KIMBERLY APRIL SETTERLUND LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KIMBERLY APRIL LOUIS

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 HARRISON AVE SUITE 101B
CLAREMONT CA
91711-4605
US

IV. Provider business mailing address

324 S. DIAMOND BAR BLVD. #632
DIAMOND BAR CA
91765
US

V. Phone/Fax

Practice location:
  • Phone: 909-624-4283
  • Fax: 909-625-7817
Mailing address:
  • Phone: 909-624-4283
  • Fax: 909-625-7817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCS#21701
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS #21701
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: