Provider Demographics
NPI:1144797655
Name:GARNER, KIMALEE D (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:KIMALEE
Middle Name:D
Last Name:GARNER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 AMERICAS APT 16C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6348
Mailing Address - Country:US
Mailing Address - Phone:212-685-0770
Mailing Address - Fax:
Practice Address - Street 1:800 AMERICAS APT 16C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6348
Practice Address - Country:US
Practice Address - Phone:212-685-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT20801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical