MS. KIMBERLY WALLACH STUDENT/INTERN
NPI 1407528029
Social Worker - Clinical in Mount Vernon, NY

Active since October 01, 2021
11 W PROSPECT AVE FL 4, MOUNT VERNON, NY 10550(914) 668-8938(914) 668-2545 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2023, Oct 1, 2021 (2 updates tracked since 2021).

About Ms. Kimberly Wallach Student/intern NPPES

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

MS. KIMBERLY WALLACH STUDENT/INTERN (NPI 1407528029) is an individual clinical provider in Mount Vernon, New York, licensed in New York (116885-01) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1407528029
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIMBERLY WALLACHCredential: STUDENT/INTERN
Location Address11 W PROSPECT AVE FL 4Mount Vernon, NY 10550-2017
Mailing Address845 N BroadwayWhite Plains, NY 10603-2403 · (914) 761-0600 · Fax (914) 761-5367
Fax(914) 668-2545
Sole ProprietorNo
Enumeration DateOctober 1, 2021
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
NPI 1407528029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 116885-01
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.

11 W PROSPECT AVE FL 4, Mount Vernon, NY 10550

Other Providers at the Same Location NPPES 17

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

Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Peer Specialist
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Social Worker (Clinical)
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Social Worker
11 W PROSPECT AVE FL 4, C/O WJCS
MOUNT VERNON, NY 10550
Social Worker
11 W PROSPECT AVE FL 4, C/O WJCS
MOUNT VERNON, NY 10550
Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Nurse Practitioner (Psychiatric/Mental Health)
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550

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 Wallach's NPI number?

The NPI number for Kimberly Wallach is 1407528029. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Kimberly Wallach located?

Kimberly Wallach practices at 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550. The listed phone number is (914) 668-8938.

What is Kimberly Wallach'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 Wallach was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.