Kimberly A Christensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012755 Issued in NC

Practice address

340 Commerce Ave Ste 10
Southern Pines, NC 28387-7115

Phone

(910) 986-1859

NPI assigned

Nov 5, 2017

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Verna Dority MSW CCSW IncGroup PAC ID 6709070527, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Verna Dority, MSW, CCSW, Inc

  dba Carolina Counseling Services

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1396984225

  Clinical

  Medicare reassignment Care Compare group NPD
• Ats of North Carolina, LLC

  dba Shelby Comprehensive Treatment Center

  • Methadone Clinic
  • Shelby, NC
  • NPI 1609551688
  NPD (past)
• Ats of North Carolina, LLC

  dba Carolina Treatment Center of Pinehurst

  • Methadone Clinic
  • Pinehurst, NC
  • NPI 1649310152

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1821500430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CROSSCUT LN",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876720",
            "telephone_number": "910-986-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE STE 10",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877115",
            "telephone_number": "910-986-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Champion
• Paige Garner Chisholm
• Brittany Choi, CNS
• Lauren B. Chriscoe, AGPCNP-BC
• Pamela S Christaldi, NP
• Thomas Christensen
• Christina L. Powers, DDS, PLLC
• Justin Clark, BA HISTORY
• Kevin Lee Clark Jr., LCAS-A
• Timothy Hall Clark, RPH

• Clinical Social Worker in Southern Pines, NC
• Providers in Southern Pines, 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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.