KIMBERLY D NIELSEN, PLLC
NPI 1770853301
Social Worker - Clinical in Peoria, AZ

Active since January 12, 2012
15396 N 83RD AVE STE F101, PEORIA, AZ 85381(623) 640-7940 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly D Nielsen, Pllc NPPES

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

KIMBERLY D NIELSEN, PLLC (NPI 1770853301) is a healthcare organization registered as a clinical in Peoria, Arizona and active in the NPI registry since January 2012. The organization lists Kimberly Dawn Nielsen, Child And Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1770853301
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIMBERLY D NIELSEN, PLLC
Location Address15396 N 83RD AVE STE F101Peoria, AZ 85381-5629
Mailing Address15396 N 83rd Ave Ste F101Peoria, AZ 85381-5629 · (623) 640-7940
Organization SubpartNo
Authorized OfficialKimberly Dawn NielsenChild And Family Therapist · (623) 640-7940
Enumeration DateJanuary 12, 2012
NPI 1770853301 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 AZ · LCSW1099
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.
15396 N 83RD AVE STE F101, Peoria, AZ 85381

Other Identifiers 1

Other1922143833AZ · Individual

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.

Family Medicine (Geriatric Medicine)
15396 N 83RD AVE STE F101
PEORIA, AZ 85381

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 D Nielsen, PLLC's NPI number?

The NPI number for Kimberly D Nielsen, PLLC is 1770853301. It was assigned to this organization in the NPPES registry on January 12, 2012.

Where is Kimberly D Nielsen, PLLC located?

Kimberly D Nielsen, PLLC is located at 15396 N 83rd Ave Ste F101, Peoria, AZ 85381. The listed phone number is (623) 640-7940.

What is Kimberly D Nielsen, PLLC'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 D Nielsen, PLLC was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.