Provider Demographics
NPI:1225208820
Name:DOWNING, KIM SMITH (PHD, LCSW, MSW)
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:SMITH
Last Name:DOWNING
Suffix:
Gender:F
Credentials:PHD, LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 INDEPENDENCE BLVD
Mailing Address - Street 2:PEMBROKE ONE BUILDING, SUITE 326
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-2986
Mailing Address - Country:US
Mailing Address - Phone:757-639-3978
Mailing Address - Fax:
Practice Address - Street 1:609 INDEPENDENCE PKWY
Practice Address - Street 2:SUITE115
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5209
Practice Address - Country:US
Practice Address - Phone:757-312-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040043871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical