MEDICARE: KIMBERLY MARQUEZ 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	104100000X	Social Worker	106069	TX

General Provider Information

NPI Number	:	1801550298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY MARQUEZ LCSW

Provider Business Mailing Address
First Line	:	6115 BOWLING BROOK DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-2609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4847 W LAWTHER DR STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-1845
Country	:	US
Telephone Number	:	214-827-8080
Fax Number	:

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

Provider Enumeration Date	:	10/22/2021
Last Update Date	:	09/11/2025

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Directions to “ KIMBERLY MARQUEZ LCSW” Practice Location

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