National Provider Identifier
Kristin Lynn Dimberg, LCSW
Kristin Lynn Dimberg, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Montour Falls, NY and a listed phone number of (802) 488-6934.
Profile Overview
- NPI
- 1437505294
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 11, 2016
- Last Updated
- June 03, 2021
Practice Location
- 401 W. Main St.
- Montour Falls, NY 14865
Phone: (802) 488-6934
Mailing Address
- PO Box 650
- Montour Falls, NY 14865
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1437505294
- Entity Type
- Individual
- Last Name
- Dimberg
- First Name
- Kristin
- Middle Name
- Lynn
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- PO Box 650
- Mailing City
- Montour Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14865
- Mailing Country
- US
- Mailing Phone
- (860) 391-3677
- Mailing Fax
- (802) 488-6919
- Practice Street Address
- 401 W. Main St.
- Practice City
- Montour Falls
- Practice State
- NY
- Practice ZIP Code
- 14865
- Practice Country
- US
- Practice Phone
- (802) 488-6934
- Practice Fax
- (802) 488-6919
- Enumeration Date
- May 11, 2016
- Last Updated
- June 03, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 03, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)