KIMBERLY SHANETTA NICHOLSON LCSW-A
NPI 1558180109
Social Worker - Clinical in Goldsboro, NC

Active since October 09, 2024
1503 WAYNE MEMORIAL DR STE E, GOLDSBORO, NC 27534(919) 587-0001(919) 587-0007 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Shanetta Nicholson Lcsw-a NPPES

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

KIMBERLY SHANETTA NICHOLSON LCSW-A (NPI 1558180109) is an individual clinical provider in Goldsboro, North Carolina, licensed in North Carolina (P020106) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1558180109
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY SHANETTA NICHOLSONCredential: LCSW-A
Location Address1503 WAYNE MEMORIAL DR STE EGoldsboro, NC 27534-2203
Mailing Address1503 Wayne Memorial Dr Ste EGoldsboro, NC 27534-2203 · (919) 587-0001 · Fax (919) 587-0007
Fax(919) 587-0007
Sole ProprietorYes
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
NPI 1558180109 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 · P020106
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.
1503 WAYNE MEMORIAL DR STE E, Goldsboro, NC 27534

Other Names 1

Former Name (1)Kimberly Nicholson Pearce

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534

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 Nicholson's NPI number?

The NPI number for Kimberly Nicholson is 1558180109. It was assigned to this individual provider in the NPPES registry on October 9, 2024. The provider is also known as Kimberly Nicholson Pearce.

Where is Kimberly Nicholson located?

Kimberly Nicholson practices at 1503 Wayne Memorial Dr Ste E, Goldsboro, NC 27534. The listed phone number is (919) 587-0001.

What is Kimberly Nicholson'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 Nicholson was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.