Individual
KIMBERLY MARIE WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2479 IVY CREEK FRD, YORK, SC 29745-8138
(734) 341-5007
Mailing address
2479 IVY CREEK FRD, YORK, SC 29745-8138
(734) 341-5007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16331
SC
1041C0700X
Clinical Social Worker
Primary
18585
SC
Other
Enumeration date
04/04/2025
Last updated
02/26/2026
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