Spivey, Kimberly Patrice

Spivey, Kimberly Patrice is an sole proprietor health care provider with primary practice located at 5113 Monroe St , Matteson IL 60443-3072. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spivey, Kimberly Patrice can be contacted via phone (708) 747-1292.

Contact Information

Primary practice address
5113 Monroe St Matteson IL 60443-3072
Fax: (708) 747-1292
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.013263 Illinois

Profile Details

NPI number 1245535269
LBN Legal business name Spivey, Kimberly Patrice
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2011
Last updated Jan 22nd, 2011 - about 13 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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