Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM CLARISSA DALLAS, LMSW
Active Sole ProprietorClinical Social Worker · KINGSTON, NY
Registration Details
- NPI Number
- 1851383889
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2005 (20.678732600691 yrs)
- Last Updated
- Jun 26, 2024
- Licenses
-
44SC06207700 (NJ)073220 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
239 GOLDEN HILL LNKINGSTON, NY, 124016441Browse NY providers · Browse ZIP 12401
- Phone
- 8453404135
- Fax
- 8453404094
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
Other Clinical Social Worker Providers in KINGSTON, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN H. GRANT | LCSW-R | 1508869256 |
| TIMOTHY JOHN RODIER | LCSW-R | 1730171687 |
| JEAN L MOFFATT | LCSWR | 1487646303 |
| MS. NANCY THAKCER | LCSW-R; MSED | 1689641979 |
| MR. JOHN JOSEPH DEROSALIA | LCSW-R | 1669491163 |
| MS. DAVI E OSGOOD | LCSW | 1730193194 |
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.