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Individual
KIMBERLY MARIE MICHELINI
Active
Individual
KIMBERLY MARIE MICHELINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R051313-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000416259001
BLUE SHIELD
NY
01
—
051313
SHARED HEALTH
NY
01
—
312212
UNITED BEHAVIORAL HEALTH
NY
01
—
549453
VALUE OPTIONS
NY
01
—
782075
MVP
NY
Enumeration date
06/12/2006
Last updated
07/13/2026
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