Ms. Kimberly Wallach, STUDENT/INTERN
Social Worker, Clinical in Mount Vernon, New York
1407528029- Practice location
- 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017
- Phone
- 914-668-8938
- Fax
- 914-668-2545
- Last updated
- February 1, 2023
Kimberly Wallach is a Social Worker, Clinical based in Mount Vernon, NY. Kimberly Wallach practices in Mount Vernon, NY and has the professional credentials of STUDENT/INTERN. The NPI Number for Kimberly Wallach is 1407528029 and holds a License No. 116885-01 (NY). The current practice location address for Kimberly Wallach is 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017 and can be reached out via phone at 914-668-8938 and via fax at 914-668-2545.
Provider Profile Details
- NPI Number
- 1407528029
- Provider Name
- Kimberly Wallach
- Credential
- STUDENT/INTERN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017
- Phone Number
- 914-668-8938
- Fax Number
- 914-668-2545
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2021
- Last Update Date
- February 1, 2023
- Certification Date
- February 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 W Prospect Ave Fl 4
Mount Vernon, NY 10550-2017 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-2017
- Phone Number
- 914-668-8938
- Fax Number
- 914-668-2545
Provider Business Mailing Address Details
- Address
- 845 N Broadway
White Plains, NY 10603-2403 - City
- White Plains
- State
- NY
- Zip
- 10603-2403
- Phone Number
- 914-761-0600
- Fax Number
- 914-761-5367
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 116885-01
- License State (2)
- NY
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Mount Vernon, NY
View all Social Worker, Clinical providers in Mount Vernon →- Alexis SantaviccaSocial Worker, Clinical · NPI 1366993693
- Alice N AdomSocial Worker, Clinical · NPI 1841060282
- Aline FertilSocial Worker, Clinical · NPI 1194190926
- Angela D Hyman, MSWSocial Worker, Clinical · NPI 1144623802
- Candace Desiena, LCSWSocial Worker, Clinical · NPI 1558819623
- Carolyn V Ben Reuben, LMSWSocial Worker, Clinical · NPI 1780131664
Frequently Asked Questions
What is the NPI number of Ms. Kimberly Wallach, STUDENT/INTERN?
The NPI number of Ms. Kimberly Wallach, STUDENT/INTERN is 1407528029. It was assigned on October 1, 2021 and is currently active in the NPPES registry.
What is the specialty of Ms. Kimberly Wallach, STUDENT/INTERN?
Ms. Kimberly Wallach, STUDENT/INTERN is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 116885-01.
Where does Ms. Kimberly Wallach, STUDENT/INTERN practice?
The practice location is 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017. The office can be reached at 914-668-8938 (phone) or 914-668-2545 (fax).
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 1407528029 directly on the NPPES registry website.