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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KIMBERLEY B HERZOG, LISW-S

Active

MISS KIMBERLEY B HERZOG, LISW-S is a Clinical Social Worker healthcare provider located in PEORIA, Illinois. NPI 1134585441 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PEORIA, IL

Registration Details

NPI Number
1134585441
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2016 (10.566694791646 yrs)
Last Updated
Aug 12, 2019
Licenses
I1501458S (OH)
149021356 (IL)
149021356 (IL)

Practice Information

Address
5111 N GLEN PARK PLACE RD
PEORIA, IL, 616144675
Browse IL providers · Browse ZIP 61614
Phone
3096835700
Fax
3096835752
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PEORIA, IL

Name Credential NPI
DIANE M BITTLE MSW.,LCSW 1710957550
MR. BRADLEY ALLEN POST LCSW 1821069725
JAMES M HERR LCSW 1851363675
MARY C BRUELL LCSW 1659345007
MS. JULIE A DIBERNARDINO-DOEDEN LCSW 1316901168
MS. NANCY A AMOS-SCHULTE LICENSED CLINICAL SO 1255396909
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.