Individual provider · Type 1 NPI

Kimberly Robin Outlaw, LCAS-A

Clinical Social Worker · La Grange, NC

NPI number 1821462292 Active

Practice location

3367 Ponderosa Dr
La Grange, NC 28551-8067

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20276 (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 1821462292

Kimberly Robin Outlaw, LCAS-A's National Provider Identifier is 1821462292, issued on Nov 21, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Grange, NC. The record was last updated on Oct 22, 2026.