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NPI Code Detail

MEDICARE: KIMBERLY HARDIN LCSW

MEDICARE: KIMBERLY HARDIN 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 Worker12004-CAR
2104100000XSocial Worker

General Provider Information

NPI Number : 1700505914
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY HARDIN LCSW
Provider Business Mailing Address
First Line : 2707 BROWNS LN
Second Line :
City : JONESBORO
State : AR
Zip : 72401-7213
Country : US
Telephone Number : 870-972-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2707 BROWNS LN
Second Line :
City : JONESBORO
State : AR
Zip : 72401-7213
Country : US
Telephone Number : 870-972-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 01/20/2026

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Directions to “ KIMBERLY HARDIN LCSW” Practice Location

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