Provider Demographics
NPI:1760820450
Name:FLOWERS, KIMBERLIE JEAN (MSW,LICSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLIE
Middle Name:JEAN
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:MSW,LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2017
Mailing Address - Country:US
Mailing Address - Phone:978-764-2130
Mailing Address - Fax:
Practice Address - Street 1:7 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2017
Practice Address - Country:US
Practice Address - Phone:978-764-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1158811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical