Individual
KIMBERLY S VAN ENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3133 QUINLEY PL, RALEIGH, NC 27604-3358
(760) 994-4990
Mailing address
3133 QUINLEY PL, RALEIGH, NC 27604-3358
(310) 462-8599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
144122
CA
1041C0700X
Clinical Social Worker
22429-C
AR
1041C0700X
Clinical Social Worker
C017062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190077AHN
—
CA
Enumeration date
12/30/2011
Last updated
03/05/2026
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