Active NPI
Kimberly Ann Binan, LCSWA
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1487480455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020965
- Practice address
- 1540 Purdue Dr Ste 100
Fayetteville, NC 28303-5509 - Phone
- (910) 900-4660
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020965 | NC | Primary |
Addresses
Primary practice location
1540 Purdue Dr Ste 100
Fayetteville, NC 28303-5509
Mailing address
319 Damsel CT
Linden, NC 28356-8053
Phone (413) 977-3271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020965 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1487480455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 DAMSEL CT",
"city": "LINDEN",
"state": "NC",
"postal_code": "283568053",
"telephone_number": "413-977-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 PURDUE DR STE 100",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035509",
"telephone_number": "910-900-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINAN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Bilingual Kids Center for Speech PLLC
- Isaac M Billin, DC
- Jannelse Billingham
- Jazanae Billings, BSW, MSW, LCSWA
- Sarah Elizabeth Billman, MS, CCC-SLP
- Hannah Bingham
- Terry Mead Binkley
- Bio-Medical Applications of Fayetteville, Inc.
- Bio-Medical Applications of North Carolina Inc.
- Bio-Medical Applications of North Carolina, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.