Nicolson, Kimberly Ruth

Nicolson, Kimberly Ruth is an sole proprietor health care provider with primary practice located at 1840 S Elena Ave Ste 106 , Redondo Beach CA 90277-5716. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nicolson, Kimberly Ruth can be contacted via phone (310) 737-2210.

Contact Information

Primary practice address
1840 S Elena Ave Ste 106 Redondo Beach CA 90277-5716
Phone: (310) 737-2210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 62637 California
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW62673 California

Profile Details

NPI number 1164617015
LBN Legal business name Nicolson, Kimberly Ruth
Credentials DSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2007
Last updated Apr 4th, 2022 - about 3 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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