KIMBERLY MCCULLOUGH DAVIS
NPI 1194397133
Social Worker - Clinical in Charlotte, NC

Q: What is Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1194397133. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Q: What is Kimberly Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Davis was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2021

1909 J N PEASE PL STE 101, CHARLOTTE, NC 28262(980) 313-3020(704) 980-8023 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Mccullough Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MCCULLOUGH DAVIS (NPI 1194397133) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P015700) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1194397133

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY MCCULLOUGH DAVIS

Location Address1909 J N PEASE PL STE 101Charlotte, NC 28262-4509

Mailing AddressPo Box 680665Charlotte, NC 28216-0012 · (704) 451-7067

Phone(980) 313-3020

Fax(704) 980-8023

Sole ProprietorYes

Enumeration DateJuly 9, 2021

NPPES CertifiedJuly 9, 2021

✔ NPI 1194397133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · P015700

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1909 J N PEASE PL STE 101, Charlotte, NC 28262

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHONDA MEREUS RATLIFF LCWSA

Social Worker (Clinical)