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

MS. Kimberly A Robertson, LCSW

Individual provider Clinical Social Worker · NPI 1851977953

MS. Kimberly A Robertson, LCSW is a Clinical Social Worker in Bolivar, Missouri. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in Colorado, Minnesota and Missouri.

Years since qualifying
7
Licensed in
CO, MN, MO
In the registry since
2021
Specialties on file
3
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

910 E San Martin St Ofc 2
Bolivar, MO 65613-2893
Phone: (417) 414-0676
Fax: (844) 222-4909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 729 Main St, Canon City, CO 81212-3738 — (719) 345-2267

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2023017145 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW.09929480 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 33114 (MN)

Record details

NPI number1851977953
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 20, 2021
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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