BENJAMIN P KIMBALL
NPI 1972158087
Social Worker - Clinical in Charlotte, NC

Q: What is Benjamin Kimball's NPI number?

The NPI number for Benjamin Kimball is 1972158087. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Q: What is Benjamin Kimball's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Kimball was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 06, 2019

10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(704) 850-6479 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2021, Aug 6, 2019 (2 updates tracked since 2019).

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About Benjamin P Kimball NPPES

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

BENJAMIN P KIMBALL (NPI 1972158087) is an individual clinical provider in Charlotte, North Carolina and active in the NPI registry since August 2019. He maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1972158087

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameBENJAMIN P KIMBALL

Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001

Mailing Address10130 Mallard Creek Rd Ste 300Charlotte, NC 28262-6001 · (704) 850-6479

Phone(704) 850-6479

Sole ProprietorNo

Enumeration DateAugust 6, 2019

Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration

NPPES CertifiedJuly 15, 2021

✔ NPI 1972158087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262

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Secondary Practice Location 1

Location 11068 S Lake DrLexington, SC 29073-3720 · Phone (803) 726-9407

Other Providers at the Same Location NPPES 20

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

DR. TERRI LYNN TILFORD EDD

Counselor (Professional)