Provider Demographics
NPI:1285279976
Name:HARFORD, KIMBERLY M (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:HARFORD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 N MOUNTAIN RD STE 307
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1795
Mailing Address - Country:US
Mailing Address - Phone:717-585-0098
Mailing Address - Fax:
Practice Address - Street 1:1250 N MOUNTAIN RD STE 307
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1795
Practice Address - Country:US
Practice Address - Phone:717-651-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-17
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136768104100000X
PACW0230861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker