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KIMBERLEY IRENE NUSBAUM LICSW
NPI 1972055564
Social Worker - Clinical in Vancouver, WA

Active since October 29, 2016
2502 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661(360) 831-0904(360) 433-9917 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 30, 2022, Oct 29, 2016 (2 updates tracked since 2016).

About Kimberley Irene Nusbaum Licsw NPPES

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

KIMBERLEY IRENE NUSBAUM LICSW (NPI 1972055564) is an individual clinical provider in Vancouver, Washington, licensed in Washington (LW61294719) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1972055564
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLEY IRENE NUSBAUMCredential: LICSW
Location Address2502 E FOURTH PLAIN BLVDVancouver, WA 98661-3965
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (253) 681-6603 · Fax (206) 764-8005
Phone(360) 831-0904
Fax(360) 433-9917
Sole ProprietorNo
Enumeration DateOctober 29, 2016
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1972055564 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 WA · LW61294719
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.
2502 E FOURTH PLAIN BLVD, Vancouver, WA 98661
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Other Identifiers 1

Medicaid2115400WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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.

AWA PENDA SECK DDS
Dentist (Pediatric Dentistry)
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 768-9010
MS. MARJORIE L RODDICK MA, LMHC, LPC, CTTS
Counselor (Mental Health)
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 852-9092
MONICA CALIZO
Counselor (Mental Health)
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (855) 289-4503
MS. NICOLE YVONNE BRUNO RN, BSN
Registered Nurse
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 852-9092
BENJAMIN KENNETH GAGE
Counselor
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 831-0904
CHANTELLE PAULSON ARNP
Nurse Practitioner (Psychiatric/Mental Health)
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 558-5795
NICOLE M MILNE
Counselor (Mental Health)
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 831-0904
EUGENE MONROE BROWN MA, CDP, NCAAC
Counselor (Addiction (Substance Use Disorder))
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 831-0904

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 Kimberley Nusbaum's NPI number?

The NPI number for Kimberley Nusbaum is 1972055564. It was assigned to this individual provider in the NPPES registry on October 29, 2016.

Where is Kimberley Nusbaum located?

Kimberley Nusbaum practices at 2502 E Fourth Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 831-0904.

What is Kimberley Nusbaum's specialty?

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

What insurance does Kimberley Nusbaum accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kimberley Nusbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberley Nusbaum was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.