KIMBERLY CHRISTLY LICSW
NPI 1093128480
Social Worker - Clinical in Port Orchard, WA

Active since June 03, 2014
9618 SE DRIFTWOOD DR, PORT ORCHARD, WA 98367(417) 827-4503 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Christly Licsw NPPES

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

KIMBERLY CHRISTLY LICSW (NPI 1093128480) is an individual clinical provider in Port Orchard, Washington, licensed in Washington (LW 60340001) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1093128480
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY CHRISTLYCredential: LICSW
Location Address9618 SE DRIFTWOOD DRPort Orchard, WA 98367-9712
Mailing Address9618 Se Driftwood DrPort Orchard, WA 98367-9712 · (417) 827-4503
Sole ProprietorYes
Enumeration DateJune 3, 2014
NPI 1093128480 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 WA · LW 60340001
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.
9618 SE DRIFTWOOD DR, Port Orchard, WA 98367

Other Names 1

Professional Name (2)Kimberly Holland Licsw

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 Kimberly Christly's NPI number?

The NPI number for Kimberly Christly is 1093128480. It was assigned to this individual provider in the NPPES registry on June 3, 2014. The provider is also known as Kimberly Holland Licsw.

Where is Kimberly Christly located?

Kimberly Christly practices at 9618 SE Driftwood Dr, Port Orchard, WA 98367. The listed phone number is (417) 827-4503.

What is Kimberly Christly'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 Kimberly Christly was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.