Individual
MISS KIMBERLY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
733 THIMBLE SHOALS BLVD STE 170, NEWPORT NEWS, VA 23606-4260
(757) 537-8224
Mailing address
3575 BRIDGE RD, STE 228, SUFFOLK, VA 23435-1800
(757) 537-5901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010863
VA
1041C0700X
Clinical Social Worker
C012093
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609340611
N/A
VA
Enumeration date
01/14/2019
Last updated
02/11/2024
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