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

Kimberly Wais Fore, LCSW

Individual provider Clinical Social Worker · NPI 1902298532

Kimberly Wais Fore, LCSW is a Clinical Social Worker in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
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

3027 San Diego Rd
Jacksonville, FL 32207-3691
Phone: (904) 303-4215
Fax: (904) 346-5199
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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 SW13882 (FL)

Record details

NPI number1902298532
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 18, 2015
Last updated in NPPESMarch 21, 2017

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