MS. KIMBERLY ANN KETTLE LCSW
NPI 1871573634
Social Worker - Clinical in Midvale, UT

Active since January 18, 2006
7309 S 180 W, MIDVALE, UT 84047(801) 565-6812(801) 569-9718 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimberly Ann Kettle Lcsw NPPES

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

MS. KIMBERLY ANN KETTLE LCSW (NPI 1871573634) is an individual clinical provider in Midvale, Utah, licensed in Utah (316386-3501) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1871573634
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIMBERLY ANN KETTLECredential: LCSW
Location Address7309 S 180 WMidvale, UT 84047-1020
Mailing Address8937 S North Forty RdSandy, UT 84093-1726 · (801) 944-3408
Fax(801) 569-9718
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1871573634 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 UT · 316386-3501
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.
7309 S 180 W, Midvale, UT 84047

Other Identifiers 3

Medicare UPIN31638635000001UT
Medicare UPINU006107009851101UT
Medicare UPINU003942938348UT

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
7309 S 180 W
MIDVALE, UT 84047
Social Worker (Clinical)
7309 S 180 W
MIDVALE, UT 84047
Psychiatric Residential Treatment Facility
7309 S 180 W
MIDVALE, UT 84047
Psychologist (Clinical)
7309 S 180 W
MIDVALE, UT 84047
Social Worker (Clinical)
7309 S 180 W
MIDVALE, UT 84047
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
7309 S 180 W
MIDVALE, UT 84047
Social Worker
7309 S 180 W
MIDVALE, UT 84047
Nurse Practitioner (Psychiatric/Mental Health)
7309 S 180 W
MIDVALE, UT 84047

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 Kettle's NPI number?

The NPI number for Kimberly Kettle is 1871573634. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Kimberly Kettle located?

Kimberly Kettle practices at 7309 S 180 W, Midvale, UT 84047. The listed phone number is (801) 565-6812.

What is Kimberly Kettle'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 Kettle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.