Provider Demographics
NPI:1285103812
Name:HUNT, KIMBERLEY RENEE (LCSWA)
Entity type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:RENEE
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3537 M L KING JR BLVD
Mailing Address - Street 2:# 215
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2209
Mailing Address - Country:US
Mailing Address - Phone:252-505-8150
Mailing Address - Fax:252-214-6278
Practice Address - Street 1:4711 SEMINOLE CT
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-9432
Practice Address - Country:US
Practice Address - Phone:336-416-1533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0124081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical