Active NPIIndividual provider

Kimberly Obrien, PHD, LICSW

Social Worker, Clinical in Walpole, Massachusetts

NPI Number1275694309
Practice location
12 Red Gate RD, Walpole, MA 02081-3785
Fax
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Last updated
February 15, 2024

Kimberly Obrien is a Social Worker, Clinical based in Walpole, MA. Kimberly Obrien practices in Walpole, MA and has the professional credentials of PHD, LICSW. The NPI Number for Kimberly Obrien is 1275694309 and holds a License No. 114403 (MA). The current practice location address for Kimberly Obrien is 12 Red Gate RD, Walpole, MA 02081-3785 and can be reached out via phone at 781-696-6779.

Provider Profile Details

NPI Number
1275694309
Provider Name
Kimberly Obrien
Credential
PHD, LICSW
Provider Entity Type
Individual
Gender
Female
Address
12 Red Gate RD, Walpole, MA 02081-3785
Phone Number
781-696-6779
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 13, 2006
Last Update Date
February 15, 2024
Certification Date
February 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Red Gate RD
Walpole, MA 02081-3785
Zip
02081-3785
Phone Number
781-696-6779
Walpole, MA 02081Get directions →

Provider Business Mailing Address Details

Address
12 Red Gate RD
Walpole, MA 02081-3785
City
Walpole
State
MA
Zip
02081-3785
Phone Number
781-696-6779

License Information

License Number (1)
114403
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Obrien, PHD, LICSW?

The NPI number of Kimberly Obrien, PHD, LICSW is 1275694309. It was assigned on December 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Kimberly Obrien, PHD, LICSW?

Kimberly Obrien, PHD, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114403.

Where does Kimberly Obrien, PHD, LICSW practice?

The practice location is 12 Red Gate RD, Walpole, MA 02081-3785. The office can be reached at 781-696-6779 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275694309 directly on the NPPES registry website.

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