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.Information from the official NPPES registry record, last updated November 15, 2011.

NPPES Registry Identity

NPI1952521924
Entity TypeIndividualFemale
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. 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)

Reviews for MISS KIMYATTA SHEVONE ANDERSON LCSW, MSW

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Other Providers at the Same Location


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

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

The NPI number assigned to this healthcare provider is 1952521924, enumerated as an "individual" on May 01, 2007.

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: Oscar Health Maintenance Organization of Florida,. Please consult your insurance carrier or call the provider to verify.