Active NPIIndividual providerSole proprietor

Kymberlie A Atwood, MSW, MA PC-A

Counselor, Mental Health in Salem, Oregon

NPI Number1366216053
Practice location
355 Miller St SE, Salem, OR 97302-4247
Fax
—
Last updated
November 13, 2023

Kymberlie A Atwood, MSW, MA PC-A is a Counselor, Mental Health based in Salem, OR. Kymberlie A Atwood, MSW, MA PC-A holds the professional credentials of MSW, MA PC-A. The NPI number for Kymberlie A Atwood, MSW, MA PC-A is 1366216053. The current practice location address is 355 Miller St SE, Salem, OR 97302-4247 and the office can be reached by phone at 360-319-5908. The NPI was assigned on November 13, 2023 and the record was last updated in NPPES on November 13, 2023.

●Provider Profile Details

NPI Number
1366216053
Provider Name
Kymberlie Ann Atwood
Credential
MSW, MA PC-A
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
November 13, 2023
Last Update Date
November 13, 2023
Certification Date
November 13, 2023
NPI Status
Active

◉Business Practice Location Address

Address
355 Miller St SE
Salem, OR 97302-4247
City
Salem
State
Oregon
ZIP
97302-4247
Country
US
Phone Number
360-319-5908

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✉Business Mailing Address

Address
485 44TH Ave SE
Salem, OR 97317-5412
City
Salem
State
OR
ZIP
97317-5412
Phone Number
360-319-5908

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other 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 Kymberlie A Atwood, MSW, MA PC-A?

The NPI number of Kymberlie A Atwood, MSW, MA PC-A is 1366216053. It was assigned on November 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Kymberlie A Atwood, MSW, MA PC-A?

Kymberlie A Atwood, MSW, MA PC-A is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kymberlie A Atwood, MSW, MA PC-A practice?

The practice location is 355 Miller St SE, Salem, OR 97302-4247. The office can be reached at 360-319-5908 (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 1366216053 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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