1952445264 NPI number — MS. KIMBERLY APRIL SETTERLUND LCSW

Table of content: MS. KIMBERLY APRIL SETTERLUND LCSW (NPI 1952445264)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952445264 NPI number — MS. KIMBERLY APRIL SETTERLUND LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SETTERLUND
Provider First Name:
KIMBERLY
Provider Middle Name:
APRIL
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOUIS
Provider Other First Name:
KIMBERLY
Provider Other Middle Name:
APRIL
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1952445264
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
324 S. DIAMOND BAR BLVD.
Provider Second Line Business Mailing Address:
#632
Provider Business Mailing Address City Name:
DIAMOND BAR
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91765
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-624-4283
Provider Business Mailing Address Fax Number:
909-625-7817

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
428 HARRISON AVE
Provider Second Line Business Practice Location Address:
SUITE 101B
Provider Business Practice Location Address City Name:
CLAREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91711-4605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-624-4283
Provider Business Practice Location Address Fax Number:
909-625-7817
Provider Enumeration Date:
02/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCS #21701 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 104100000X , with the licence number: LCS#21701 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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