Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Prodger, LCSW

Individual provider Clinical Social Worker · NPI 1114066404

Kim Prodger, LCSW is a Clinical Social Worker in Lakewood, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4010 Watson Plaza Dr Ste 285
Lakewood, CA 90712-4037
Phone: (562) 497-1505
Fax: (562) 497-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 12046 (CA)

Record details

NPI number1114066404
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJuly 8, 2007

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