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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY DAWN ENNIS, LCSW

Active Sole Proprietor

KIMBERLY DAWN ENNIS, LCSW is a Clinical Social Worker healthcare provider located in GRIMESLAND, North Carolina. NPI 1508138199 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GRIMESLAND, NC

Registration Details

NPI Number
1508138199
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2012 (14.529866681897 yrs)
Last Updated
Jan 30, 2012
License
C006251 (NC)
Sole Proprietor
Yes

Practice Information

Address
513 LANCELOT STREET
GRIMESLAND, NC, 278370567
Browse NC providers · Browse ZIP 27837
Phone
2528472214
Fax
2528477492
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in GRIMESLAND, NC

Name Credential NPI
MRS. LATONYA HARRIS GRIMES MSW, LCSW 1508143512
ANTHONY HARRIS 1902283633
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.