Provider Demographics
NPI:1346834348
Name:JENKINS, KIMBERLY MARIA TOSCANO (LMSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MARIA TOSCANO
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12 MAIN ST # 1082
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-6402
Mailing Address - Country:US
Mailing Address - Phone:347-370-9838
Mailing Address - Fax:347-467-1509
Practice Address - Street 1:12 MAIN ST # 1082
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-6402
Practice Address - Country:US
Practice Address - Phone:347-370-9838
Practice Address - Fax:347-467-1509
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker