1. Home
  2. Directory
  3. North Carolina
  4. Farmville
  5. Social Worker
  6. NPI Profile

KIMYATTA ANDERSON
NPI 1730442294
Social Worker - Clinical in Farmville, NC

Active since June 20, 2012
3707 N MAIN ST, FARMVILLE, NC 27828(252) 753-5100(252) 753-5121 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimyatta Anderson NPPES

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

KIMYATTA ANDERSON (NPI 1730442294) is a healthcare organization registered as a clinical in Farmville, North Carolina and active in the NPI registry since June 2012. The organization lists Kimyatta Anderson, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1730442294
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIMYATTA ANDERSON
Location Address3707 N MAIN STFarmville, NC 27828-1486
Mailing AddressPo Box 4204Greenville, NC 27836-2204 · (252) 753-5100 · Fax (252) 753-5121
Phone(252) 753-5100
Fax(252) 753-5121
Organization SubpartNo
Authorized OfficialKimyatta AndersonClinical Director · (252) 753-5100
Enumeration DateJune 20, 2012
Last NPPES UpdateJune 21, 2012
✔ NPI 1730442294 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 · C005612
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.
3707 N MAIN ST, Farmville, NC 27828
Open in Google Maps ↗

Other Identifiers 1

Medicaid6106660NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

FAMILY AND COMMUNITY RESOURCES, INC
Community/Behavioral Health
3707 N MAIN ST, SUITE H
FARMVILLE, NC 27828
Pitt County (252) 753-5100
SONALI PATEL LCAS
Counselor (Addiction (Substance Use Disorder))
3707 N MAIN ST
FARMVILLE, NC 27828
Pitt County (252) 753-5100
JOSEPH'S INC
Assisted Living Facility
3707 N MAIN ST
FARMVILLE, NC 27828
Pitt County (252) 753-5700
MISS KIMYATTA SHEVONE ANDERSON LCSW, MSW
Social Worker (Clinical)
3707 N MAIN ST
FARMVILLE, NC 27828
Pitt County (252) 753-5100

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 Kimyatta Anderson's NPI number?

The NPI number for Kimyatta Anderson is 1730442294. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Kimyatta Anderson located?

Kimyatta Anderson is located at 3707 N Main St, Farmville, NC 27828. The listed phone number is (252) 753-5100.

What is Kimyatta Anderson'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 Kimyatta Anderson was last updated on June 21, 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.