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NPI Code Detail

MEDICARE: KIMBERLY TRIPPODO LCSW

MEDICARE: KIMBERLY TRIPPODO 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
11041C0700XClinical Social Worker3100NH
21041C0700XClinical Social Worker60637TX

General Provider Information

NPI Number : 1629544176
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY TRIPPODO LCSW
Provider Business Mailing Address
First Line : 1600 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2261
Country : US
Telephone Number : 254-313-4200
Fax Number : 254-313-4549
Provider Business Practice Location Address
First Line : 1600 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2261
Country : US
Telephone Number : 254-313-4200
Fax Number : 254-313-4549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2018
Last Update Date : 05/28/2026

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Directions to “ KIMBERLY TRIPPODO LCSW” Practice Location

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