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Contact Information

KRISTIN L DIMBERG, LCSW
401 W. MAIN ST.
MONTOUR FALLS, NY14865
 Phone: 802-488-6934
 Fax: 802-488-6919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KRISTIN L DIMBERG · (Female)

NPI Number 1437505294
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 05/11/2016
Last updated 06/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 086836
  • VT License # 089-0109854
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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