Foster, Kimberly C

Foster, Kimberly C is an individual health care provider with primary practice located at 1300 Dresden Dr , Morris IL 60450-2476. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Foster, Kimberly C can be contacted via phone (815) 942-5200.

Contact Information

Primary practice address
1300 Dresden Dr Morris IL 60450-2476
Phone: (815) 942-5200
Fax: (815) 942-5330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149021674 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.101836 Illinois

Profile Details

NPI number 1841730074
LBN Legal business name Foster, Kimberly C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2017
Last updated Nov 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841730074 NPPES
Illinois Other 149021674 LCSW LICENSE

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