Kimberly Anne Koenig, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007889 Issued in NC

Practice address

2875 Worth Dr
Wilmington, NC 28412-6248

Phone

(910) 392-4881

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1316296304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 WORTH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126248",
            "telephone_number": "910-392-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 WORTH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126248",
            "telephone_number": "910-392-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": "5815",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rokima Michelle Knox, PMHNP-BC
• Jade Ashley Knutson Day, LCAS, LPC
• April Koch, CRP
• Meagan Chaille Koch, LCMHCA, LMHC
• Ashley Jill Koehler, OTR/L
• William Koff, MD
• Kelly Kohaut, LCSW
• Meranda Kohlenberg, LCMHCA
• Donald P Kohler, MD
• John Aaron Kohler Sr., MD, MBA

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.