Kimberly Back, LISW-S
Kimberly Back, LISW-S is a Clinical Social Worker in Fairfield, Ohio. Graduated from University of Cincinnati College of Medicine in 2012, 14 years ago. Practices with Decoach Team LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 14
- Trained at
- University of Cincinnati College of Medicine
- Licensed in
- OH
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
6570 Sosna Dr Ste 2Fairfield, OH 45014-2222
Phone: (513) 942-4673
Fax: (135) 737-1107
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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 I.1451413 (OH) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence LICDC.161918 (OH) |
Record details
| NPI number | 1578923181 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LISW-S |
| Sole proprietor | No |
| NPI enumerated | February 25, 2016 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 30, 2023 |
| Mailing address | 100 Crowne Point Pl, Cincinnati, OH 45241-5427 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Decoach Team Llc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fairfield
-
Mary Carman, MSED
6975 Dixie Hwy Ste A, Fairfield, OH 45014-5431 · (513) 887-2100
-
Tanya L Clift, LPCC
1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 · (513) 939-0300
-
James Downey, EDD
780 Nilles Rd Ste F1, Fairfield, OH 45014-3644 · (513) 858-3777
-
Dustin Mark Faulkner, PC
1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 · (513) 939-0300