Provider Demographics
NPI:1932323888
Name:PARABOSCHI, KIMBERLY (LCSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:PARABOSCHI
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 1:3620 N JOSEY LN
Mailing Address - Street 2:SUITE 114
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3157
Mailing Address - Country:US
Mailing Address - Phone:972-394-2137
Mailing Address - Fax:
Practice Address - Street 1:3620 N JOSEY LN
Practice Address - Street 2:SUITE 114
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3157
Practice Address - Country:US
Practice Address - Phone:972-394-2137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX394221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86552QOtherBLUE CROSS BLUE SHIELD