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General NPI Number Information
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NPI Number | 1942184734
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Entity Type | Organization
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Legal Business Name | KIMBERLY ISRAEL, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 9259 FOSTORIA CT
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City | SAN DIEGO
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State | CA
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Zip | 92127-2613
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Country | US
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Telephone | 619-665-8267
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Fax |
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Provider Business Mailing Address
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Address Line | 9259 FOSTORIA CT
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City | SAN DIEGO
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State | CA
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Zip | 92127-2613
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Country | US
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Telephone | 619-665-8267
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Fax |
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | KIMBERLY ISRAEL
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Credential |
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Telephone | 619-665-8267
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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