MEDICARE: KIMBER WRIGHT LCSW

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	69318	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	101Y00000X	Counselor
4	1041C0700X	Clinical Social Worker	8041-C	NV
5	1041C0700X	Clinical Social Worker	93366	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245450634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBER WRIGHT LCSW

Provider Business Mailing Address
First Line	:	1310 W OWENS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2470
Country	:	US
Telephone Number	:	702-324-8141
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 W OWENS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2470
Country	:	US
Telephone Number	:	702-324-8141
Fax Number	:

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	11/18/2025

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Directions to “ KIMBER WRIGHT LCSW” Practice Location

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