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

Kimberly Tobar, LCSW

Individual provider Peer Specialist · NPI 1902479694

Kimberly Tobar, LCSW is a Clinical Social Worker in South Salt Lake, Utah. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2021
Specialties on file
2
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

3269 S Main St Ste 100
South Salt Lake, UT 84115-3773
Phone: (801) 935-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 S 600 E, Salt Lake City, UT 84102-1007 — (801) 322-1001

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13021048-3501 (UT)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1902479694
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 20, 2021
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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