Provider Demographics
NPI:1689623522
Name:FORBES, KIM (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:
Last Name:FORBES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KIM
Other - Middle Name:FORBES
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:516 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-2212
Mailing Address - Country:US
Mailing Address - Phone:757-625-2063
Mailing Address - Fax:
Practice Address - Street 1:1 COLUMBUS CTR STE 600
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6760
Practice Address - Country:US
Practice Address - Phone:757-490-7860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040031641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical