Provider Demographics
NPI:1588245443
Name:TORRES, KIMBERLY D (LCSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:D
Last Name:TORRES
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S 25TH ST UNIT 6067
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80934-1004
Mailing Address - Country:US
Mailing Address - Phone:719-412-9754
Mailing Address - Fax:
Practice Address - Street 1:204 S 25TH ST UNIT 6067
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80934-1004
Practice Address - Country:US
Practice Address - Phone:719-412-9754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040127241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical