Williams, Kimberly Eastman
Williams, Kimberly Eastman is an sole proprietor health care provider with primary practice located at 3725 National Dr Suite 114, Raleigh NC 27612-4066. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Williams, Kimberly Eastman can be contacted via phone (919) 784-0205.Contact Information
Primary practice address
3725 National Dr Suite 114
Raleigh NC 27612-4066
Phone: (919) 784-0205
Fax: (919) 784-0250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003859 | North Carolina |
Profile Details
| NPI number | 1578539722 |
|---|---|
| LBN Legal business name | Williams, Kimberly Eastman |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578539722 | NPPES |
| North Carolina | MEDICAID | 6002042 | |
| North Carolina | Other | 128JC |
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