KIMBERLY KNICKERBOCKER MSW
NPI 1558713164
Social Worker - Clinical in Lapeer, MI

Q: What is Kimberly Knickerbocker's NPI number?

The NPI number for Kimberly Knickerbocker is 1558713164. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Q: What is Kimberly Knickerbocker's specialty?

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

Active since July 07, 2016

1570 SUNCREST DR, LAPEER, MI 48446(810) 667-0500(810) 664-8728 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Knickerbocker Msw NPPES

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

KIMBERLY KNICKERBOCKER MSW (NPI 1558713164) is an individual clinical provider in Lapeer, Michigan, licensed in Michigan (6801101205) and active in the NPI registry since July 2016. She maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1558713164

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY KNICKERBOCKERCredential: MSW

Location Address1570 SUNCREST DRLapeer, MI 48446-1154

Mailing Address765 Rolling Hills Ln Apt 2Lapeer, MI 48446-4760 · (810) 667-0500 · Fax (810) 664-8728

Phone(810) 667-0500

Fax(810) 664-8728

Sole ProprietorNo

Enumeration DateJuly 7, 2016

Last NPPES UpdateJuly 19, 2019

✔ NPI 1558713164 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 MI · 6801101205

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.

Also ListedSocial WorkerTaxonomy 104100000X

1570 SUNCREST DR, Lapeer, MI 48446

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Secondary Practice Location 1

Location 11134 S Linden Rd Ste 8Flint, MI 48532-3455 · Phone (810) 877-6343

Other Providers at the Same Location NPPES 20

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

JENNIFER S BRYANT

Technician, Other