Provider Demographics
NPI:1578208625
Name:KIM PICKELSIMER MCGRAW LCSW
Entity Type:Organization
Organization Name:KIM PICKELSIMER MCGRAW LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:PICKELSIMER
Authorized Official - Last Name:MCGRAW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:912-358-2324
Mailing Address - Street 1:2430 ABERCORN ST UPPR UNITB
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-9131
Mailing Address - Country:US
Mailing Address - Phone:912-358-2324
Mailing Address - Fax:
Practice Address - Street 1:2430 ABERCORN ST UPPR UNITB
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-9131
Practice Address - Country:US
Practice Address - Phone:912-358-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty