KIMBERLY NISSIM LCSW
NPI 1639624315
Social Worker - Clinical in Bala Cynwyd, PA

Active since August 23, 2016
345 MONTGOMERY AVE, BALA CYNWYD, PA 19004(267) 788-5025 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2021, Aug 23, 2016 (2 updates tracked since 2016).

About Kimberly Nissim Lcsw NPPES

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

KIMBERLY NISSIM LCSW (NPI 1639624315) is an individual clinical provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (CW022172) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1639624315
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY NISSIMCredential: LCSW
Location Address345 MONTGOMERY AVEBala Cynwyd, PA 19004-2801
Mailing Address345 Montgomery AveBala Cynwyd, PA 19004-2801
Sole ProprietorNo
Enumeration DateAugust 23, 2016
Last NPPES UpdateJune 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
NPI 1639624315 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 PA · CW022172
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
345 MONTGOMERY AVE, Bala Cynwyd, PA 19004

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Social Worker
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Community/Behavioral Health
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Social Worker
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Social Worker
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Community/Behavioral Health
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Community/Behavioral Health
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Case Manager/Care Coordinator
345 MONTGOMERY AVE
BALA CYNWYD, PA 19004

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 Nissim's NPI number?

The NPI number for Kimberly Nissim is 1639624315. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Kimberly Nissim located?

Kimberly Nissim practices at 345 Montgomery Ave, Bala Cynwyd, PA 19004. The listed phone number is (267) 788-5025.

What is Kimberly Nissim'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 Nissim was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.