Provider Demographics
NPI:1700905767
Name:STRONG, KIMBERLY MICHELLE (LCSW)
Entity type:Individual
Prefix:MISS
First Name:KIMBERLY
Middle Name:MICHELLE
Last Name:STRONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:KIMBERLY
Other - Middle Name:MICHELLE
Other - Last Name:STRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:870 MARKET ST STE 340
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3022
Mailing Address - Country:US
Mailing Address - Phone:520-603-8552
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST STE 340
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3022
Practice Address - Country:US
Practice Address - Phone:415-632-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health