National Provider Identifier Database

KIMBERLY CARVALLISON, LCSW – NPI #1760526818
School


Contact Information

KIMBERLY CARVALLISON, LCSW
1309 S MARY AVE
SUNNYVALE, CA94087-3050
Phone: 408-252-3000
Fax:
Website:
Specialty Taxonomy Code
* School 1041S0200X
Behavior Analyst 103K00000X

* Indicates primary specialty

NPI Profile & details for KIMBERLY CARVALLISON

NPI Number 1760526818
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/19/2007
Last updated 09/28/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 1-16-21732
  • CA License #: 25721
Hospital affiliation n/a

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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