# KIMBERLY J. CARR, L.C.S.W., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083959456
- **Authorized official:** MS. KIMBERLY JO CARR L.C.S.W. (DIRECTOR)
- **Authorized official phone:** (703) 897-8970

## Contact information

- **Practice address:** 13164 CENTERPOINTE WAY, SUITE 202, WOODBRIDGE, VA 22193-5288
- **Practice address phone:** (703) 897-8970
- **Practice address fax:** (703) 897-9732
- **Mailing address:** 13164 CENTERPOINTE WAY, SUITE 202, WOODBRIDGE, VA 22193-5288
- **Mailing address phone:** (703) 897-8970
- **Mailing address fax:** (703) 897-9732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904001689 | VA | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/11/2012