Provider Demographics
NPI:1235452012
Name:KLEINMAN, KIMBERLY S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:S
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 HENRY HUDSON PKWY
Mailing Address - Street 2:1104
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3808
Mailing Address - Country:US
Mailing Address - Phone:718-543-2257
Mailing Address - Fax:
Practice Address - Street 1:4525 HENRY HUDSON PKWY
Practice Address - Street 2:1104
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3808
Practice Address - Country:US
Practice Address - Phone:718-543-2257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR026518-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical