Provider Demographics
NPI:1679379440
Name:SENGER, KIM (LCSW)
Entity type:Individual
Prefix:MR
First Name:KIM
Middle Name:
Last Name:SENGER
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 1:6641 W ANTLER BEND PL
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85658-0148
Mailing Address - Country:US
Mailing Address - Phone:941-258-5001
Mailing Address - Fax:
Practice Address - Street 1:6641 W ANTLER BEND PL
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85658-0148
Practice Address - Country:US
Practice Address - Phone:941-258-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW242561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical