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: July 19, 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
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

Other Identifiers 2

Other1328PBcbs
Other2132551NC · Cigna

Accepted 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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychiatric diagnostic evaluation

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.

This service was performed 18 times for 17 patients

Psychotherapy, 1 hour

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.

This service was performed 264 times for 27 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $16.93 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28403 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.72
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $16.93
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
4000 OLEANDER DR STE 202A
WILMINGTON, NC 28403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417020173, enumerated as an "individual" on November 17, 2006.

The provider is located at 4000 OLEANDER DR STE 202A WILMINGTON, NC 28403 and the phone number is (910) 791-5171.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Providence. Please consult your insurance carrier or call the provider to verify.