# EDITH YAEL JIMENEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063101632
- **Gender:** F
- **Credential:** LMSW, CSW-I

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 12089-M | NV | Yes |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 04/09/2025