MISS KIMYATTA SHEVONE ANDERSON LCSW, MSW
NPI 1952521924
Social Worker - Clinical in Farmville, NC

Active since May 01, 2007
3707 N MAIN ST, FARMVILLE, NC 27828(252) 753-5100(252) 753-5121 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Kimyatta Shevone Anderson Lcsw, Msw NPPES

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

MISS KIMYATTA SHEVONE ANDERSON LCSW, MSW (NPI 1952521924) is an individual clinical provider in Farmville, North Carolina, licensed in North Carolina (C005612) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1952521924
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS KIMYATTA SHEVONE ANDERSONCredential: LCSW, MSW
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
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateNovember 15, 2011
NPI 1952521924 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

Other Identifiers 1

Medicaid6106660NC

Accepted Insurance

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.

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
Social Worker (Clinical)
3707 N MAIN ST
FARMVILLE, NC 27828

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 1952521924. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Kimyatta Anderson located?

Kimyatta Anderson practices 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.

What insurance does Kimyatta Anderson accept?

Health plans from Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kimyatta Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimyatta Anderson was last updated on November 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.