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

Kimberley Irene Nusbaum, LICSW

Individual provider Clinical Social Worker · NPI 1972055564

Kimberley Irene Nusbaum, LICSW is a Clinical Social Worker in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2502 E Fourth Plain Blvd
Vancouver, WA 98661-3965
Phone: (360) 831-0904
Fax: (360) 433-9917
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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 LW61294719 (WA)

Record details

NPI number1972055564
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 29, 2016
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

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