| Organization Name: | KIMBERLY SAUTNER LCSW, LLC |
| NPI Number: | 1477839678 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY ANN SAUTNER (OWNER) |
| Mailing Address: | 40 Carr Ave Suite C Keansburg |
| State: | NJ US |
| Postal Code: | 077341058 |
| Phone Number: | 7326707771 |
| Fax Number: | 7324716360 |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05349300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |