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MS. KIM K LONGBOTTOM LCSW, LCAS
NPI 1417020173
Social Worker - Clinical in Wilmington, NC

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
4000 OLEANDER DR STE 202A, WILMINGTON, NC 28403(910) 791-5171(910) 781-5777 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kim K Longbottom Lcsw, Lcas NPPES

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

MS. KIM K LONGBOTTOM LCSW, LCAS (NPI 1417020173) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (C0044309) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417020173
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIM K LONGBOTTOMCredential: LCSW, LCAS
Location Address4000 OLEANDER DR STE 202AWilmington, NC 28403-6846
Mailing Address4000 Oleander Dr Ste 202aWilmington, NC 28403-6846 · (910) 791-5171 · Fax (910) 781-5777
Phone(910) 791-5171
Fax(910) 781-5777
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 17, 2006
Last NPPES UpdateMay 16, 2026
NPPES CertifiedMay 16, 2026
✔ NPI 1417020173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C0044309
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1085 (NC)
4000 OLEANDER DR STE 202A, Wilmington, NC 28403
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Other Identifiers 2

Other1328PBcbs
Other2132551NC · Cigna

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kim K Longbottom Lcsw, Lcas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658316518
PECOS Enrollment IDI20100430000636
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
264 services27 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CHARIS COUNSELING SERVICES, PLLC
Social Worker (Clinical)
4000 OLEANDER DR STE 202A
WILMINGTON, NC 28403
New Hanover County (910) 791-5171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Longbottom's NPI number?

The NPI number for Kim Longbottom is 1417020173. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Kim Longbottom located?

Kim Longbottom practices at 4000 Oleander Dr Ste 202A, Wilmington, NC 28403. The listed phone number is (910) 791-5171.

What is Kim Longbottom's specialty?

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

Is Kim Longbottom enrolled in Medicare?

Yes. Kim Longbottom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kim Longbottom accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Kim Longbottom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Longbottom was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.