Kimberly S Carter – Clinical Social Worker

Key facts

NPI: 1831801208
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 4267G (AL)
Practice address: 3131 Azalea Garden Rd # B
Norfolk, VA 23513-2303
Phone: (757) 271-9030
NPI assigned: Dec 19, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Oasis Clinical Counseling Services LLC Mental Health Counselor · Norfolk, VA · NPI 1235619388

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
4267G	AL	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Oasis Clinical Counseling Services LLC		Past since Dec 28, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	4267G	AL	Yes

Addresses

Primary practice location

3131 Azalea Garden Rd # B
Norfolk, VA 23513-2303

Mailing address

3215 County Road 10
Heflin, AL 36264-4346
Phone (256) 926-8205

Other identifiers

Identifier	Type	State	Issuer
1235619385	Medicaid	VA

Other providers in Norfolk, VA

All providers in Norfolk, VA · Clinical Social Worker in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.