MEDICARE: KIMBERLY O. HOWARD LISW-S

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	I.1600256-SUPV	OH
2	1041C0700X	Clinical Social Worker	I 1600256	OH

General Provider Information

NPI Number	:	1588940597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY O. HOWARD LISW-S

Provider Business Mailing Address
First Line	:	1856 CEDAR HILL RD
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-4178
Country	:	US
Telephone Number	:	740-796-8835
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 CEDAR HILL RD
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-4178
Country	:	US
Telephone Number	:	740-796-8835
Fax Number	:

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

Provider Enumeration Date	:	10/24/2011
Last Update Date	:	11/30/2025

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