Provider Demographics
NPI:1336445444
Name:MCFARLAND, KIMBERLY ANN (LCSW, RPT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LCSW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 LOFTIS MOUNTAIN WAY
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-8734
Mailing Address - Country:US
Mailing Address - Phone:706-994-3376
Mailing Address - Fax:706-374-1391
Practice Address - Street 1:438 LOFTIS MOUNTAIN WAY
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-8734
Practice Address - Country:US
Practice Address - Phone:706-994-3376
Practice Address - Fax:706-374-1391
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102X00000X, 1041C0700X, 1041S0200X
GACSW0034831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool