Kimyatta Shevone Anderson in Greenville - Clinical
Kimyatta Shevone Anderson - NPI 1952521924
Kimyatta Shevone Anderson is a Clinical in Greenville, North Carolina. Kimyatta Shevone Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimyatta Shevone Anderson is 1952521924. The last update date is 2011-11-15.
Kimyatta Shevone Anderson's current location address is Po Box 4204, Greenville, North Carolina. You can contact this provider via phone number 2527535100 and fax number 2527535121. The mailing address for Kimyatta Shevone Anderson is Po Box 4204, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimyatta Shevone Anderson |
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Address | Po Box 4204, Greenville, North Carolina |
Phone Number | 2527535100 |
Fax Number | 2527535121 |
Sole Proprietor | Y |
Credentials | LCSW, MSW |
NPI Number Detail
NPI Number | 1952521924 |
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Provider Enumeration Date | 2007-05-01 |
Last Updated Date | 2011-11-15 |
Provider Mailing Address Detail
Address | Po Box 4204 |
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City | Greenville |
State | North Carolina (NC) |
Post Code | 278362204 |
Phone Number | 2527535100 |
Fax Number | 2527535121 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | C005612 |
Definition: A 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 licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6106660 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kimyatta Shevone Anderson by the Centers for Medicare & Medicaid Services?
The Kimyatta Shevone Anderson has been assigned the NPI (National Provider Identifier) 1952521924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kimyatta Shevone Anderson is physically located?
The Kimyatta Shevone Anderson is situated at the following address: Po Box 4204, Greenville, NC 278362204.
What is Kimyatta Shevone Anderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kimyatta Shevone Anderson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1952521924 assigned to Kimyatta Shevone Anderson?
The Kimyatta Shevone Anderson was issued its 1952521924 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kimyatta Shevone Anderson most recently updated or refreshed?
The details pertaining to the Kimyatta Shevone Anderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-15.