Miss Kimyatta Shevone Anderson, LCSW, MSW is a
Social Worker - Clinical based in Farmville, North Carolina. Miss Kimyatta Shevone Anderson is licensed to practice in North Carolina (license number C005612) and her current practice location is
3707 N Main St, Farmville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 753-5100.
NPI number for Miss Kimyatta Shevone Anderson is 1952521924 and her current mailing address is Po Box 4204, Greenville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952521924.
Healthcare Provider's Profile
Full Name | Miss Kimyatta Shevone Anderson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3707 N Main St, Farmville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952521924
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 11/15/2011
Medical Identifiers
Medical identifiers for Miss Kimyatta Shevone Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952521924 | NPI | - | NPPES |
6106660 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C005612 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kimyatta Shevone Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Kimyatta Shevone Anderson, LCSW, MSW Po Box 4204, Greenville, NC 27836-2204 Ph: (252) 753-5100 | Miss Kimyatta Shevone Anderson, LCSW, MSW 3707 N Main St, Farmville, NC 27828-1486 Ph: (252) 753-5100 |
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