Provider Demographics
NPI:1598252850
Name:MCFARLAND, KIMBERLEE G (LCSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:G
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 WYNFORD CMNS SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3776
Mailing Address - Country:US
Mailing Address - Phone:704-756-5770
Mailing Address - Fax:
Practice Address - Street 1:1111 WYNFORD CMNS SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3776
Practice Address - Country:US
Practice Address - Phone:704-756-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-21
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0062811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical