Individual
KIMBERLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
136 JUNCTION LN, CHARLOTTESVILLE, VA 22902-6280
(301) 922-9163
Mailing address
136 JUNCTION LN, CHARLOTTESVILLE, VA 22902-6280
(301) 922-9163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009056
VA
1041C0700X
Clinical Social Worker
149.012717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R00760
—
IL
Enumeration date
01/30/2007
Last updated
08/25/2025
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