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Individual
MS. KIM K LONGBOTTOM
Active
Individual
MS. KIM K LONGBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1085
NC
1041C0700X
Clinical Social Worker
Primary
C0044309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1328P
BCBS
—
01
—
2132551
CIGNA
NC
05
—
6002524
—
NC
Enumeration date
11/17/2006
Last updated
05/16/2026
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