Kimberly Cibrian, LMSW
Individual provider Active NPI Social Worker · Pocatello, ID
NPI 1275375982 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1275375982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LMSW-45184 (ID)
- Practice address
- 1001 N 7TH Ave Ste 115
Pocatello, ID 83201-5786 - Phone
- (208) 223-0240
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-45184 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Enhancement Services & Treatment LLC | Current |
Accepting new patients | |
| Behavioral Enhancement Services & Treatment LLC | Current |
Accepting new patients |
Locations
1001 N 7th Ave
Ste 115
Pocatello, ID 83201
Phone (208) 223-0240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-45184 | ID | Yes |
Addresses
Primary practice location
1001 N 7TH Ave Ste 115
Pocatello, ID 83201-5786
Mailing address
PO Box 2811
Idaho Falls, ID 83403-2811
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.