MEDICARE: KIMBERLY ERIN D'AMICO MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	28244	CA

General Provider Information

NPI Number	:	1114252749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ERIN D'AMICO MSW

Provider Business Mailing Address
First Line	:	550 SILVER SPUR RD
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90275-3601
Country	:	US
Telephone Number	:	310-874-1145
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 SILVER SPUR RD
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90275-3601
Country	:	US
Telephone Number	:	310-874-1145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	12/12/2025

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