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: July 19, 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.Information from the official NPPES registry record, last updated June 21, 2012.

NPPES Registry Identity

NPI1730442294
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

Licensed in NC · C005612

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… Show more

3707 N MAIN ST, Farmville, NC 27828

Also on File with NPPES

Other Identifiers1
6106660 (Medicaid, NC)
Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

Reviews for KIMYATTA ANDERSON

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3707 N MAIN ST
FARMVILLE, NC 27828
Community/Behavioral Health
3707 N MAIN ST, SUITE H
FARMVILLE, NC 27828
Assisted Living Facility
3707 N MAIN ST
FARMVILLE, NC 27828
Counselor (Addiction (Substance Use Disorder))
3707 N MAIN ST
FARMVILLE, NC 27828

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730442294, enumerated as an "organization" on June 20, 2012.

The provider is located at 3707 N MAIN ST FARMVILLE, NC 27828 and the phone number is (252) 753-5100.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.