Kimberley Anne Backstrom, is a
Social Worker based in Las Vegas, Nevada. Kimberley Anne Backstrom is licensed to practice in Nevada (license number 1358P-S) and her current practice location is
300 E Charleston Blvd Ste 216, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 247-1145.
NPI number for Kimberley Anne Backstrom is 1447714647 and her current mailing address is 7715 Ornamento Way, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447714647.
Healthcare Provider's Profile
| Full Name | Kimberley Anne Backstrom |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 300 E Charleston Blvd Ste 216, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447714647
- Provider Enumeration Date: 01/22/2019
- Last Update Date: 09/08/2020
Medical Identifiers
Medical identifiers for Kimberley Anne Backstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447714647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW87254 (California) | Secondary |
| 104100000X | Social Worker | 1358P-S (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberley Anne Backstrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberley Anne Backstrom,
7715 Ornamento Way,
Las Vegas, NV 89179-1825
Ph: (702) 247-1145 | Kimberley Anne Backstrom,
300 E Charleston Blvd Ste 216,
Las Vegas, NV 89104-1042
Ph: (702) 247-1145 |
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