Provider Demographics
NPI:1073711933
Name:RENTSCHLER, KIMBERLEY SAFT (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLEY
Middle Name:SAFT
Last Name:RENTSCHLER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:DR
Other - First Name:KIMBERLEY
Other - Middle Name:
Other - Last Name:SAFT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LCSW
Mailing Address - Street 1:9140 GOLFSIDE DR
Mailing Address - Street 2:UNIT 9N
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-1881
Mailing Address - Country:US
Mailing Address - Phone:904-742-6322
Mailing Address - Fax:904-732-9556
Practice Address - Street 1:9140 GOLFSIDE DR
Practice Address - Street 2:UNIT 9N
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-1881
Practice Address - Country:US
Practice Address - Phone:904-742-6322
Practice Address - Fax:904-732-9556
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW82771041C0700X
PACW0145081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical