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Contact Information

KIMBERLY A MASTERPOLE, LCSWR
4780 COUNTRY CLUB DR
SYRACUSE, NY13219
 Phone: 315-214-3935
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIMBERLY A MASTERPOLE · (Female)

NPI Number 1619040052
Status Active
Credentials LCSWR
Entity Individual
Enumeration date 11/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # R0551771
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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