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NPI Code Detail

MEDICARE: KIMBERLY S LUTHY LCSW, LMSW

MEDICARE:   KIMBERLY S LUTHY  LCSW, LMSW
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
11041C0700XClinical Social Worker12625-CNV

General Provider Information

NPI Number : 1184226904
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY S LUTHY LCSW, LMSW
Provider Business Mailing Address
First Line : 4775 SUMMIT RIDGE DR APT 2089
Second Line :
City : RENO
State : NV
Zip : 89523-7925
Country : US
Telephone Number : 775-561-4328
Fax Number :
Provider Business Practice Location Address
First Line : 6151 LAKESIDE DR STE 2000
Second Line :
City : RENO
State : NV
Zip : 89511-8541
Country : US
Telephone Number : 775-561-4328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2020
Last Update Date : 01/29/2026

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Directions to “ KIMBERLY S LUTHY LCSW, LMSW” Practice Location

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