Provider Demographics
NPI:1548734320
Name:SWIECKI, KIMBERLY K (MSW, LISW)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:K
Last Name:SWIECKI
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WILLIAM HOWARD TAFT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:877-651-4343
Mailing Address - Fax:513-366-4491
Practice Address - Street 1:4803 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1152
Practice Address - Country:US
Practice Address - Phone:513-631-2474
Practice Address - Fax:513-531-0862
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI18008461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical