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

MS. Kimberly Wallach, STUDENT/INTERN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407528029

MS. Kimberly Wallach, STUDENT/INTERN is a Student in an Organized Health Care Education/Training Program in Mount Vernon, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11 W Prospect Ave Fl 4
Mount Vernon, NY 10550-2017
Phone: (914) 668-8938
Fax: (914) 668-2545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 116885-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407528029
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENT/INTERN
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023
Mailing address845 N Broadway, White Plains, NY 10603-2403

Other providers in Mount Vernon