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KIMBERLY CLOUGH
NPI 1003323726
Social Worker - Clinical in Longview, TX

Active since January 03, 2018
1010 TRISTAN LN, LONGVIEW, TX 75604(903) 918-6574(903) 704-0980 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Clough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY CLOUGH (NPI 1003323726) is a healthcare organization registered as a clinical in Longview, Texas and active in the NPI registry since January 2018. The organization lists Kimberly Clough, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003323726
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFAITHFULLY RESTORED
Location Address1010 TRISTAN LNLongview, TX 75604-1862
Mailing Address1010 Tristan LnLongview, TX 75604-1862 · (903) 918-6574 · Fax (903) 704-0980
Phone(903) 918-6574
Fax(903) 704-0980
Organization SubpartNo
Authorized OfficialKimberly CloughCeo · (903) 918-6574
Enumeration DateJanuary 3, 2018
✔ NPI 1003323726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 59013
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1010 TRISTAN LN, Longview, TX 75604
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Other Names 1

Doing Business AsKimberly Clough

Other Identifiers 1

Medicaid373636801TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY CLOUGH LCSW
Social Worker (Clinical)
1010 TRISTAN LN
LONGVIEW, TX 75604
Gregg County (903) 918-6574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faithfully Restored's NPI number?

The NPI number for Faithfully Restored is 1003323726. It was assigned to this organization in the NPPES registry on January 3, 2018. The provider is doing business as Kimberly Clough.

Where is Faithfully Restored located?

Faithfully Restored is located at 1010 Tristan Ln, Longview, TX 75604. The listed phone number is (903) 918-6574.

What is Faithfully Restored's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Faithfully Restored was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.