Individual provider · Type 1 NPI

Kimberly McCullough Davis

Clinical Social Worker · Charlotte, NC

NPI number 1194397133 Active

Practice location

1909 J N Pease Pl Ste 101
Charlotte, NC 28262-4509

Call (980) 313-3020 Map

Fax (704) 980-8023

Mailing address

PO Box 680665
Charlotte, NC 28216-0012

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP015700 (NC)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194397133

Kimberly McCullough Davis's National Provider Identifier is 1194397133, issued on Jul 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 9, 2021.