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General NPI Number Information
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NPI Number | 1033704465
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Entity Type | Individual
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Provider Name | KIMBERLY CHRISTINE ADAMCZAK MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 6580 72ND AVE N STE A
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4047
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Country | US
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Telephone | 727-440-5612
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Fax | 727-388-3767
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Provider Business Mailing Address
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Address Line | 840 DR MARTIN LUTHER KING JR ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1214
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Country | US
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Telephone | 727-502-1700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW13937
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License Number State | FL
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