Provider Demographics
NPI:1285143826
Name:WARD, KIMBERLY CECELIA (LCSW-C, LICSW)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:CECELIA
Last Name:WARD
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15854 LIVINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-2220
Mailing Address - Country:US
Mailing Address - Phone:301-363-9835
Mailing Address - Fax:
Practice Address - Street 1:15854 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-2220
Practice Address - Country:US
Practice Address - Phone:301-363-9835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500812931041C0700X
MD180251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical