KIMBERLY DAWN ENNIS LCSW
NPI 1508138199
Social Worker - Clinical in Grimesland, NC

Active since January 30, 2012
513 LANCELOT STREET, GRIMESLAND, NC 27837(252) 847-2214(252) 847-7492 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Dawn Ennis Lcsw NPPES

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

KIMBERLY DAWN ENNIS LCSW (NPI 1508138199) is an individual clinical provider in Grimesland, North Carolina, licensed in North Carolina (C006251) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1508138199
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY DAWN ENNISCredential: LCSW
Location Address513 LANCELOT STREETGrimesland, NC 27837-0567
Mailing AddressPo Box 567Grimesland, NC 27837-0567 · (252) 847-2214 · Fax (252) 847-7492
Fax(252) 847-7492
Sole ProprietorYes
Enumeration DateJanuary 30, 2012
NPI 1508138199 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 · C006251
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.
513 LANCELOT STREET, Grimesland, NC 27837

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 Kimberly Ennis's NPI number?

The NPI number for Kimberly Ennis is 1508138199. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Kimberly Ennis located?

Kimberly Ennis practices at 513 Lancelot Street, Grimesland, NC 27837. The listed phone number is (252) 847-2214.

What is Kimberly Ennis's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Ennis was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.