Jennifer Kimpton, LICSW
Individual provider Active NPI Clinical Social Worker · Wells, MN
NPI 1821483066 · NPPES record last updated Apr 4, 2015
Key facts
- NPI
- 1821483066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 18712 (MN)
- Practice address
- 704 4TH Ave SW
Wells, MN 56097-1406 - Phone
- (507) 317-9362
- NPI assigned
- Apr 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18712 | MN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18712 | MN | Yes |
Addresses
Primary practice location
704 4TH Ave SW
Wells, MN 56097-1406
Mailing address
704 4TH Ave SW
Wells, MN 56097-1406
Phone (507) 317-9362
Other providers in Wells, MN
- Melissa Haugh
- Heartland Senior Living
- Independent School District #2134
- Independent School District #2134
- Independent Therapy Services, Inc
- Dawn Lutteke
- Magnuson Chiropractic Center Inc
- Darin J Magnuson
- Molly McConville
- Nicole Meyer
All providers in Wells, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2015. 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.