MEDICARE: KIMBERLY K O'BRIEN-SILLMAN 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	12024-123	WI
2	1041C0700X	Clinical Social Worker	35287	MN

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	:	1730366634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY K O'BRIEN-SILLMAN LCSW

Provider Business Mailing Address
First Line	:	3948 112TH ST
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-6774
Country	:	US
Telephone Number	:	715-271-3373
Fax Number	:

Provider Business Practice Location Address
First Line	:	3948 112TH ST
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-6774
Country	:	US
Telephone Number	:	715-271-3373
Fax Number	:

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

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	05/30/2026

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Directions to “ KIMBERLY K O'BRIEN-SILLMAN LCSW” Practice Location

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