Doctor Name: | MS. KIMBERLEY J WOMACK |
NPI Number: | 1003005216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, PIP |
License Number: | PIP268-1020C |
Business Practice Address: | 901 Goodyear Ave Gadsden, AL - 359031106 |
Business Phone Number: | 2564927800 |
Business Fax Number: | |
Mailing Address: | 2109 Scenic Dr, GADSDEN |
State: | AL |
Postal Code: | 359043254 |
Phone Number: | 2565491168 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2007 |
NPI Last Update Date: | 10/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PIP268-1020C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |