Kimberly Horner, LMSW

Individual provider Active NPI Clinical Social Worker · Bogart, GA

NPI 1992039796 · NPPES record last updated Sep 25, 2009

Key facts

NPI
1992039796
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
1751 Meriweather Dr BLDG B
Bogart, GA 30622-3092
Phone
(706) 543-4887
Fax
(706) 543-4889
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

1751 Meriweather Dr BLDG B
Bogart, GA 30622-3092

Mailing address

1751 Meriweather Dr BLDG B
Bogart, GA 30622-3092
Phone (706) 543-4887

Other providers in Bogart, GA

All providers in Bogart, GA · Clinical Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.