Provider Demographics
NPI:1225824303
Name:FIMBEL, GINA K (LCSWA, CMSW)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:K
Last Name:FIMBEL
Suffix:
Gender:
Credentials:LCSWA, CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 S COLLEGE RD # 1018
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-1632
Mailing Address - Country:US
Mailing Address - Phone:910-508-2808
Mailing Address - Fax:
Practice Address - Street 1:4620 CEDAR AVE STE 117
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4423
Practice Address - Country:US
Practice Address - Phone:910-508-2808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0219161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical