Individual provider · Type 1 NPI
Kim K. Longbottom, LCSW, LCAS
Clinical Social Worker · Wilmington, NC
Practice location
4000 Oleander Dr Ste 202A
Wilmington, NC 28403-6846
Fax (910) 781-5777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C0044309 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1085 (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…
Another provider at this address
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About NPI 1417020173
Kim K. Longbottom, LCSW, LCAS's National Provider Identifier is 1417020173, issued on Nov 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on May 16, 2026.