Provider Demographics
NPI:1588417042
Name:COOMBS, KIMBERLY MARIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:MARIA
Last Name:COOMBS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:MARIA
Other - Last Name:BAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:217 WITCHHAZEL WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-4214
Mailing Address - Country:US
Mailing Address - Phone:254-371-9429
Mailing Address - Fax:
Practice Address - Street 1:217 WITCHHAZEL WAY
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-4214
Practice Address - Country:US
Practice Address - Phone:254-371-9429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1062481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical