Provider Demographics
NPI:1952445264
Name:SETTERLUND, KIMBERLY APRIL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:APRIL
Last Name:SETTERLUND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:APRIL
Other - Last Name:LOUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:324 S. DIAMOND BAR BLVD.
Mailing Address - Street 2:#632
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765
Mailing Address - Country:US
Mailing Address - Phone:909-624-4283
Mailing Address - Fax:909-625-7817
Practice Address - Street 1:428 HARRISON AVE
Practice Address - Street 2:SUITE 101B
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4605
Practice Address - Country:US
Practice Address - Phone:909-624-4283
Practice Address - Fax:909-625-7817
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS #217011041C0700X
CALCS#21701104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker