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

Kimberly Marie Black, LCSW

Individual provider Clinical Social Worker · NPI 1215528955

Kimberly Marie Black, LCSW is a Clinical Social Worker in Farmington, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
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

400 N Washington St Ste 130B
Farmington, MO 63640-1764
Phone: (573) 944-0591
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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 2019005809 (MO)

Record details

NPI number1215528955
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 26, 2021
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

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