Provider Demographics
NPI:1982736625
Name:BARBER, KIM LEE (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:LEE
Last Name:BARBER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 WEATHER BRANCH LANE
Mailing Address - Street 2:
Mailing Address - City:JACKSON SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27281
Mailing Address - Country:US
Mailing Address - Phone:910-673-6723
Mailing Address - Fax:910-673-6723
Practice Address - Street 1:241 GRANT STREET
Practice Address - Street 2:
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376
Practice Address - Country:US
Practice Address - Phone:910-673-3535
Practice Address - Fax:910-673-6565
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC141OROtherBCBS
NC6003731Medicaid
NCFH500038OtherFIRST CAROLINA CARE
NC185336OtherMED COST
NC185336OtherMED COST