Kimberly Whitaker Yarborough, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO15473 Issued in NC

Practice address

106 S Fourth St Ste a
Mebane, NC 27302-2653

Phone

(919) 649-3952

NPI assigned

Jun 2, 2021

Last updated

Jun 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kimberly W Yarborough Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• I.C.a.R.E. Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Mebane, NC
  • NPI 1538653514
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1912573791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 TRAILS END DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534449",
            "telephone_number": "336-212-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S FOURTH ST STE A",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022653",
            "telephone_number": "919-649-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBOROUGH",
        "first_name": "KIMBERLY",
        "middle_name": "WHITAKER",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO15473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "YARBOROUGH",
            "middle_name": "W",
            "prefix": "MRS.",
            "credential": "LCSWA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Moore Wolter, RPH
• Melissa E Wood, PHARM.D
• Carlene B. Woods
• World Class Chiropractic, PLLC
• Dianne Weaver Wright, M.A., LPC
• Grant Lawson Yarbrough
• Jane K Ybanez, MD
• Zhanying Guo DDS PA (Complete Dental Care of Mebane)

• Clinical Social Worker in Mebane, NC
• Providers in Mebane, 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 Jun 2, 2021; 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.