| Kimberly Kaisher, Lcsw, Lcac, Llc | |
|
1950 Doctors Park Dr Ste A Columbus IN 47203-2376 | |
| (812) 565-9318 | |
| (812) 379-8020 |
| Full Name | Kimberly Kaisher, Lcsw, Lcac, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1950 Doctors Park Dr Ste A, Columbus, Indiana |
| Authorized Official Name and Position | Kimberly Mary Kaisher (THERAPIST) |
| Authorized Official Contact | 8125659318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Kaisher, Lcsw, Lcac, Llc 1950 Doctors Park Dr Ste A Columbus IN 47203-2376 Ph: (812) 565-9318 | Kimberly Kaisher, Lcsw, Lcac, Llc 1950 Doctors Park Dr Ste A Columbus IN 47203-2376 Ph: (812) 565-9318 |
| NPI Number | 1124511233 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Medicare PECOS PAC ID | 3577814789 |
|---|---|
| Medicare Enrollment ID | O20180927002349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124511233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005904A (Indiana) | Primary |
| Provider Name | Kimberly M Kaisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215253505 PECOS PAC ID: 9638208366 Enrollment ID: I20100518000824 |
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