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NPI 1003323726 · Clinical Social Worker · Longview, TX
Provider details
- NPI number
- 1003323726
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Clough, Ceo(903) 918-6574
- License
- 59013 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1010 Tristan Ln
Longview, TX 75604-1862
Phone: (903) 918-6574
Fax: (903) 704-0980
Approximate (ZIP-level) locationGet directions
Mailing address
1010 Tristan Ln
Longview, TX 75604-1862
Other names (DBA / former)
- Doing business as
- Kimberly Clough
Registry dates
- Enumerated
- 2018-01-03
- Last updated
- 2018-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.