Thornton, Kimberly Lauren

Thornton, Kimberly Lauren is an sole proprietor health care provider with primary practice located at 4855 S Moorland Rd Ste 250 , New Berlin WI 53151-7494. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thornton, Kimberly Lauren can be contacted via phone (262) 789-6020.

Contact Information

Primary practice address
4855 S Moorland Rd Ste 250 New Berlin WI 53151-7494
Phone: (262) 789-6020
Fax: (262) 789-6025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1501309 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X 218457 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 218457 Wisconsin

Profile Details

NPI number 1861795684
LBN Legal business name Thornton, Kimberly Lauren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2010
Last updated Jun 13th, 2023 - about 2 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 1861795684 NPPES
Other 1861795684 NPI
MEDICAID 2871101 NPI

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