Kimberly Kaisher, Lcsw, Lcac, Llc | |
1950 Doctors Park Dr Ste A Columbus IN 47203-2376 | |
(812) 565-9318 | |
(812) 379-8020 |
Full Name | Kimberly Kaisher, Lcsw, Lcac, Llc |
---|---|
Speciality | Social Worker |
Location | 1950 Doctors Park Dr Ste A, Columbus, Indiana |
Authorized Official Name and Position | Kimberly Mary Kaisher (THERAPIST) |
Authorized Official Contact | 8125659318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kimberly Kaisher, Lcsw, Lcac, Llc 1950 Doctors Park Dr Ste A Columbus IN 47203-2376 Ph: (812) 565-9318 | Kimberly Kaisher, Lcsw, Lcac, Llc 1950 Doctors Park Dr Ste A Columbus IN 47203-2376 Ph: (812) 565-9318 |
NPI Number | 1124511233 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 12/28/2022 |
Certification Date | 12/28/2022 |
Medicare PECOS PAC ID | 3577814789 |
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Medicare Enrollment ID | O20180927002349 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124511233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34005904A (Indiana) | Primary |
Provider Name | Kimberly M Kaisher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215253505 PECOS PAC ID: 9638208366 Enrollment ID: I20100518000824 |
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