Kimberly D Nielsen, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW1099 Issued in AZ

Legal business name

KIMBERLY D NIELSEN, PLLC

Practice address

15396 N 83Rd Ave Ste F101
Peoria, AZ 85381-5629

Phone

(623) 640-7940

NPI assigned

Jan 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kimberly Dawn Nielsen, LCSW

Title

Child and Family Therapist

Phone

(623) 640-7940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1770853301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE F101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "623-640-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE F101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "623-640-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY D NIELSEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "623-640-7940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW1099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1922143833",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Kim, D.C.
• Chris Kim, NP
• Melissa Joy Kim, PA-C
• Miji Kim, RPH
• Min Cheol Kim, MD
• Chakeela Kimble, OTR/L
• Alesha Ann Kimbrell, MS, BCBA, LBA
• Kind Caregivers at Home
• Kind Hearts Care Services LLC
• Jana Dee King, FNP-C

• Clinical Social Worker in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.