NPI age
8 years
Enumerated 2018-01-03
● Active Type 2 · Organization
Faithfully Restored
Faithfully Restored is 1 of 13,574 clinical (social worker) organizations in Texas.
Primary specialty
Clinical (Social Worker)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clough
Ceo
Last NPPES update
2018-01-03
Source: CMS NPPES provider record
How this organization compares
Across 13574 active clinical (social worker) providers in Texas.
NPI age
8 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2018
2018-01Enumerated in NPPES
2018
2018
Where they practice
Primary practice location
1010 Tristan Ln
Longview, TX 756041862
Mailing address
1010 Tristan Ln
Longview, TX 756041862
Authorized official
Kimberly Clough, LCSW
Ceo
📞 9039186574
Other providers sharing this address
1 individual provider use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Kimberly Clough, LCSW Social Worker NPI 1306246210
Specialties
-
Social Worker PrimaryA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 373636801 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kimberly Clough
Practice context
Shared NPPES address. 1 individual provider use this primary address. This does not prove employment or affiliation.
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